DAVIDA M BOSWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195780

License Status

NOT RENEWED

Business

First Name

DAVIDA

Middle

Last Name

BOSWELL

Business Name

DAVIDA M BOSWELL

Original Issue Date

12/09/2009

Effective Date

12/09/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010