JEREMY WALTER BOUSHELLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198414

License Status

NOT RENEWED

Business

First Name

JEREMY

Middle

WALTER

Last Name

BOUSHELLE

Business Name

JEREMY WALTER BOUSHELLE

Original Issue Date

05/17/2010

Effective Date

05/17/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011