LESLIE A BOMA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049080568

License Status

NOT RENEWED

Business

First Name

LESLIE A

Last Name

BOMA

Business Name

LESLIE A BOMA

Original Issue Date

01/03/1985

Effective Date

01/03/1985

Expiration Date

03/31/1986

City

ODELL

State

Zip

60460

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

10/17/2005