ANDREA M BOURN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192500

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

BOURN

Business Name

ANDREA M BOURN

Original Issue Date

06/22/2009

Effective Date

06/22/2009

Expiration Date

03/31/2010

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/04/2010