BRYAN MARC BOSQUE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145194

License Status

NOT RENEWED

Business

First Name

BRYAN

Middle

MARC

Last Name

BOSQUE

Business Name

BRYAN MARC BOSQUE

Original Issue Date

10/10/2002

Effective Date

10/10/2002

Expiration Date

03/31/2004

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005