AMY C BOUCEK - Pharmacist License in Illinois | # 049083760

AMY C BOUCEK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049083760

License Status

NOT RENEWED

Business

N

First Name

AMY C

Last Name

BOUCEK

Business Name

AMY C BOUCEK

Original Issue Date

01/31/1987

Effective Date

01/31/1987

Expiration Date

03/31/1992

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005