BONITA B PELLERIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197104

License Status

NOT RENEWED

Business

First Name

BONITA

Middle

Last Name

PELLERIN

Business Name

BONITA B PELLERIN

Original Issue Date

03/03/2010

Effective Date

02/13/2015

Expiration Date

03/31/2016

City

SYCAMORE

State

Zip

60178

County

DEKALB

Ever Disciplined

LastModifiedDate

05/20/2016