MIRANDA LYNN BOEHM - Pharmacist License in Illinois | # 049128055

MIRANDA LYNN BOEHM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128055

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005