RYAN KEITH BOUGHER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172463

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

KEITH

Last Name

BOUGHER

Business Name

RYAN KEITH BOUGHER

Original Issue Date

11/13/2006

Effective Date

02/13/2013

Expiration Date

03/31/2014

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014