MICHAEL L BOOMER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154007

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

BOOMER

Business Name

MICHAEL L BOOMER

Original Issue Date

04/07/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

05/14/2007