ANDREW EDWARDS BOUDREAU Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049236690

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

EDWARDS

Last Name

BOUDREAU

Business Name

ANDREW EDWARDS BOUDREAU

Original Issue Date

10/02/2015

Effective Date

03/14/2017

Expiration Date

03/31/2018

City

BRADLEY

State

Zip

60915

County

KANKAKEE

Ever Disciplined

LastModifiedDate

06/19/2018