JEFFERY D BOUCHER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105969

License Status

NOT RENEWED

Business

First Name

JEFFERY D

Last Name

BOUCHER

Business Name

JEFFERY D BOUCHER

Original Issue Date

02/14/1994

Effective Date

02/14/1994

Expiration Date

03/31/1995

City

MACKINAW

State

Zip

61755

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005