TARA LYNN BOUDREAU Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129701

License Status

NOT RENEWED

Business

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

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/21/2005