DORETHA A BOONE

Business Entity
NOT RENEWED

Pharmacist

PHARMACY TECHNICIAN

049099097

NOT RENEWED

N

DORETHA A

BOONE

DORETHA A BOONE

01/21/1992

01/21/1992

03/31/1993

CHICAGO

IL

60640

COOK

Y

10/17/2005

1992007836

Refuse To Renew

01/28/1993

Defaulted on Illinois Student Assistance loan.