HOWARD DEAN BOGGS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148152

License Status

NOT RENEWED

Business

First Name

HOWARD

Middle

DEAN

Last Name

BOGGS

Business Name

HOWARD DEAN BOGGS

Original Issue Date

04/18/2003

Effective Date

04/18/2003

Expiration Date

03/31/2004

City

SOUTH BELOIT

State

Zip

61080

County

BOONE

Ever Disciplined

LastModifiedDate

10/20/2005