TIMOTHY EDWARD BOUBEK - Pharmacist License in Illinois | # 049128036

TIMOTHY EDWARD BOUBEK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128036

License Status

NOT RENEWED

Business

N

First Name

TIMOTHY

Middle

EDWARD

Last Name

BOUBEK

Business Name

TIMOTHY EDWARD BOUBEK

Original Issue Date

10/26/1999

Effective Date

10/26/1999

Expiration Date

03/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005