LAVONNE BOZEMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152857

License Status

NOT RENEWED

Business

First Name

LAVONNE

Last Name

BOZEMAN

Business Name

LAVONNE BOZEMAN

Original Issue Date

01/15/2004

Effective Date

01/15/2004

Expiration Date

03/31/2005

City

JOLIET

State

Zip

60433

County

WILL

Ever Disciplined

LastModifiedDate

10/20/2005