GREGORY TYLER BOOTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176453

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

TYLER

Last Name

BOOTH

Business Name

GREGORY TYLER BOOTH

Original Issue Date

05/17/2007

Effective Date

01/21/2011

Expiration Date

03/31/2012

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/07/2012