DECNIE S DEBOUVER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142765

License Status

NOT RENEWED

Business

First Name

DECNIE

Middle

Last Name

DEBOUVER

Business Name

DECNIE S DEBOUVER

Original Issue Date

05/30/2002

Effective Date

05/30/2002

Expiration Date

03/31/2003

City

SCHAUMBURG

State

Zip

60193

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005