BOURGOGNE P OLLIE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162616

License Status

NOT RENEWED

Business

First Name

BOURGOGNE

Middle

Last Name

OLLIE

Business Name

BOURGOGNE P OLLIE

Original Issue Date

07/29/2005

Effective Date

07/29/2005

Expiration Date

03/31/2006

City

DOLTON

State

Zip

60419

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006