AMY J BOECKHOLT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116958

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

BOECKHOLT

Business Name

AMY J BOECKHOLT

Original Issue Date

03/28/1997

Effective Date

03/28/1997

Expiration Date

03/31/1998

City

WAUKEGAN

State

Zip

60087

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005