BRYCE R LA BORDE - Pharmacist License in Illinois | # 049123065

BRYCE R LA BORDE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123065

License Status

NOT RENEWED

Business

N

First Name

BRYCE

Middle

R

Last Name

LA BORDE

Business Name

BRYCE R LA BORDE

Original Issue Date

10/05/1998

Effective Date

10/05/1998

Expiration Date

03/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005