ANDREA M BOURN - Pharmacist License in Illinois | # 049192500

ANDREA M BOURN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192500

License Status

NOT RENEWED

Business

N

First Name

ANDREA

Middle

M

Last Name

BOURN

Business Name

ANDREA M BOURN

Original Issue Date

06/22/2009

Effective Date

06/22/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010