AMY JACQUELINE BOETTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125500

License Status

NOT RENEWED

Business

First Name

AMY

Middle

JACQUELINE

Last Name

BOETTIN

Business Name

AMY JACQUELINE BOETTIN

Original Issue Date

04/19/1999

Effective Date

04/19/1999

Expiration Date

03/31/2000

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/21/2005