MITCHELL DALE BOULIER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139257

License Status

NOT RENEWED

Business

First Name

MITCHELL

Middle

DALE

Last Name

BOULIER

Business Name

MITCHELL DALE BOULIER

Original Issue Date

11/16/2001

Effective Date

11/16/2001

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60656

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005