LISA MARIE BOUGHTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143766

License Status

NOT RENEWED

Business

First Name

LISA

Middle

MARIE

Last Name

BOUGHTER

Business Name

LISA MARIE BOUGHTER

Original Issue Date

07/22/2002

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/02/2008