DOMINIC L BOOSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049229479

License Status

NOT RENEWED

Business

First Name

DOMINIC

Middle

Last Name

BOOSE

Business Name

DOMINIC L BOOSE

Original Issue Date

11/23/2014

Effective Date

04/20/2016

Expiration Date

03/31/2017

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/10/2017