ANDREW J ROSEBOOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154782

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

Last Name

ROSEBOOM

Business Name

ANDREW J ROSEBOOM

Original Issue Date

06/02/2004

Effective Date

02/17/2009

Expiration Date

03/31/2010

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/04/2010