WYN S BOERCKEL Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049190553

License Status

INACTIVE

Business

First Name

WYN

Middle

Last Name

BOERCKEL

Prefix

Business Name

WYN S BOERCKEL

Original Issue Date

03/29/2009

Effective Date

03/29/2009

Expiration Date

03/31/2010

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

01/12/2010