TARA LYNN BOUDREAU - Pharmacist License in Illinois | # 049129701

TARA LYNN BOUDREAU

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129701

License Status

NOT RENEWED

Business

N

First Name

TARA

Middle

LYNN

Last Name

BOUDREAU

Business Name

TARA LYNN BOUDREAU

Original Issue Date

03/02/2000

Effective Date

03/02/2000

Expiration Date

03/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005