AMY C BOUCEK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049083760

License Status

NOT RENEWED

Business

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

City

MASON CITY

State

Zip

62664

County

MASON

Ever Disciplined

LastModifiedDate

10/17/2005