CHARLES ALEXANDER BOZEMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130569

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

ALEXANDER

Last Name

BOZEMAN

Business Name

CHARLES ALEXANDER BOZEMAN

Original Issue Date

04/17/2000

Effective Date

04/17/2000

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005