GREGORY CHARLES BOREHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145121

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005