COREY JOHN BOWMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158020

License Status

NOT RENEWED

Business

First Name

COREY

Middle

JOHN

Last Name

BOWMAN

Business Name

COREY JOHN BOWMAN

Original Issue Date

11/29/2004

Effective Date

11/29/2004

Expiration Date

03/31/2005

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005