WYCONNDA T BOATMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192238

License Status

NOT RENEWED

Business

First Name

WYCONNDA

Middle

Last Name

BOATMAN

Business Name

WYCONNDA T BOATMAN

Original Issue Date

06/10/2009

Effective Date

02/24/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60615

Ever Disciplined

LastModifiedDate

05/07/2012