MICHAEL THOMAS BOOTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134982

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

THOMAS

Last Name

BOOTH

Business Name

MICHAEL THOMAS BOOTH

Original Issue Date

03/07/2001

Effective Date

03/07/2001

Expiration Date

03/31/2002

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

12/06/2005