SIMO BOVEFONG TEDJING Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049222268

License Status

NOT RENEWED

Business

First Name

SIMO

Last Name

BOVEFONG TEDJING

Prefix

Business Name

SIMO BOVEFONG TEDJING

Original Issue Date

12/01/2013

Effective Date

12/01/2013

Expiration Date

03/31/2014

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2014