DOROTHY BUSBOOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049085551

License Status

NOT RENEWED

Business

First Name

DOROTHY

Last Name

BUSBOOM

Business Name

DOROTHY BUSBOOM

Original Issue Date

11/04/1987

Effective Date

11/04/1987

Expiration Date

03/31/1998

City

PENFIELD

State

Zip

61862

County

VERMILION

Ever Disciplined

LastModifiedDate

10/17/2005