TONYA KAY BOURN OD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049093857

License Status

NOT RENEWED

Business

First Name

TONYA

Middle

KAY

Last Name

BOURN

Suffix

Business Name

TONYA KAY BOURN OD

Original Issue Date

07/20/1990

Effective Date

07/20/1990

Expiration Date

03/31/1992

City

MURRAYVILLE

State

Zip

62668

County

MORGAN

Ever Disciplined

LastModifiedDate

10/17/2005