DANIELLE M BOOTHMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193768

License Status

NOT RENEWED

Business

First Name

DANIELLE

Middle

Last Name

BOOTHMAN

Business Name

DANIELLE M BOOTHMAN

Original Issue Date

08/20/2009

Effective Date

03/03/2015

Expiration Date

03/31/2016

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

05/20/2016