GREGORY BOUGHER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154663

License Status

NOT RENEWED

Business

First Name

GREGORY

Last Name

BOUGHER

Business Name

GREGORY BOUGHER

Original Issue Date

05/28/2004

Effective Date

07/28/2009

Expiration Date

03/31/2010

City

SAINT JOSEPH

State

Zip

61873

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/04/2010