DANIEL J BOONSTRA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108311

License Status

NOT RENEWED

Business

First Name

DANIEL J

Last Name

BOONSTRA

Business Name

DANIEL J BOONSTRA

Original Issue Date

09/28/1994

Effective Date

03/09/2021

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022