BRIAN P BOEHLKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146212

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

BOEHLKE

Business Name

BRIAN P BOEHLKE

Original Issue Date

12/04/2002

Effective Date

12/04/2002

Expiration Date

03/31/2005

City

PALOS PARK

State

Zip

60464

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005