CANDANCE R BOUSUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174230

License Status

NOT RENEWED

Business

First Name

CANDANCE

Middle

Last Name

BOUSUM

Business Name

CANDANCE R BOUSUM

Original Issue Date

02/08/2007

Effective Date

02/18/2020

Expiration Date

03/31/2021

City

WALNUT

State

Zip

61376

County

BUREAU

Ever Disciplined

LastModifiedDate

07/20/2021