DENNIS R BOUSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049075562

License Status

NOT RENEWED

Business

First Name

DENNIS R

Last Name

BOUSE

Business Name

DENNIS R BOUSE

Original Issue Date

10/30/1981

Effective Date

10/30/1981

Expiration Date

03/31/1988

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005