NATHANIEL C BOISELLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049213556

License Status

NOT RENEWED

Business

First Name

NATHANIEL

Middle

Last Name

BOISELLE

Prefix

Business Name

NATHANIEL C BOISELLE

Original Issue Date

09/17/2012

Effective Date

09/17/2012

Expiration Date

03/31/2013

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/06/2013