TY J BOARDMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184224

License Status

NOT RENEWED

Business

First Name

Middle

Last Name

BOARDMAN

Business Name

TY J BOARDMAN

Original Issue Date

05/12/2008

Effective Date

05/12/2008

Expiration Date

03/31/2009

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/06/2009