JODI MARIA BOREN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136204

License Status

NOT RENEWED

Business

First Name

JODI

Middle

MARIA

Last Name

BOREN

Business Name

JODI MARIA BOREN

Original Issue Date

05/04/2001

Effective Date

05/04/2001

Expiration Date

03/31/2005

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

10/20/2005