MARK JOSEPH BOUSSELOT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137519

License Status

NOT RENEWED

Business

First Name

MARK

Middle

JOSEPH

Last Name

BOUSSELOT

Business Name

MARK JOSEPH BOUSSELOT

Original Issue Date

08/07/2001

Effective Date

08/07/2001

Expiration Date

03/31/2006

City

CARTHAGE

State

Zip

62321

County

HANCOCK

Ever Disciplined

LastModifiedDate

05/11/2006