JAQUEDA S BOSEMAN - Pharmacist License in Illinois | # 049196391

JAQUEDA S BOSEMAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196391

License Status

NOT RENEWED

Business

N

First Name

JAQUEDA

Middle

S

Last Name

BOSEMAN

Business Name

JAQUEDA S BOSEMAN

Original Issue Date

01/23/2010

Effective Date

01/23/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011