TIMOTHY EDWARD BOUBEK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128036

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005