THEODORE J BOYLAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149872

License Status

NOT RENEWED

Business

First Name

THEODORE

Middle

Last Name

BOYLAN

Business Name

THEODORE J BOYLAN

Original Issue Date

08/19/2003

Effective Date

08/19/2003

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005