HENRY A BOOMER III Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163055

License Status

NOT RENEWED

Business

First Name

HENRY

Middle

Last Name

BOOMER

Suffix

III

Business Name

HENRY A BOOMER III

Original Issue Date

08/17/2005

Effective Date

03/04/2010

Expiration Date

03/31/2011

City

SCHAUMBURG

State

Zip

60193

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011