GREGORY CHARLES BOREHAM - Pharmacist License in Illinois | # 049145121

GREGORY CHARLES BOREHAM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145121

License Status

NOT RENEWED

Business

N

First Name

GREGORY

Middle

CHARLES

Last Name

BOREHAM

Business Name

GREGORY CHARLES BOREHAM

Original Issue Date

10/08/2002

Effective Date

10/08/2002

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005