MATTIE BOGAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049077204

License Status

NOT RENEWED

Business

First Name

MATTIE

Last Name

BOGAN

Business Name

MATTIE BOGAN

Original Issue Date

10/31/1982

Effective Date

10/31/1982

Expiration Date

03/31/1987

City

BLUE ISLAND

State

Zip

60406

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005