KEVIN P BOESEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114182

License Status

NOT RENEWED

Business

First Name

KEVIN P

Last Name

BOESEN

Business Name

KEVIN P BOESEN

Original Issue Date

05/08/1996

Effective Date

05/08/1996

Expiration Date

03/31/1997

City

CHICAGO

State

Zip

60656

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005