LOREN E BOEHM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175516

License Status

NOT RENEWED

Business

First Name

LOREN

Middle

Last Name

BOEHM

Business Name

LOREN E BOEHM

Original Issue Date

04/11/2007

Effective Date

03/31/2009

Expiration Date

03/31/2010

City

STILLMAN VALLEY

State

Zip

61084

County

OGLE

Ever Disciplined

LastModifiedDate

05/04/2010