CHAD A BOHANNON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049085048

License Status

NOT RENEWED

Business

First Name

CHAD A

Last Name

BOHANNON

Business Name

CHAD A BOHANNON

Original Issue Date

08/15/1987

Effective Date

08/15/1987

Expiration Date

03/31/1988

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005