TINA MARIE BOMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148950

License Status

NOT RENEWED

Business

First Name

TINA

Middle

MARIE

Last Name

BOMAN

Business Name

TINA MARIE BOMAN

Original Issue Date

06/17/2003

Effective Date

03/13/2017

Expiration Date

03/31/2018

City

WHITE HEATH

State

Zip

61884

County

PIATT

Ever Disciplined

LastModifiedDate

06/19/2018