MIRANDA LYNN BOEHM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128055

License Status

NOT RENEWED

Business

First Name

MIRANDA

Middle

LYNN

Last Name

BOEHM

Business Name

MIRANDA LYNN BOEHM

Original Issue Date

10/28/1999

Effective Date

10/28/1999

Expiration Date

03/31/2001

City

PALATINE

State

Zip

60067

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005