MICHAEL BORUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049243042

License Status

NOT RENEWED

Business

First Name

MICHAEL

Last Name

BORUM

Business Name

MICHAEL BORUM

Original Issue Date

07/08/2016

Effective Date

05/09/2018

Expiration Date

03/31/2019

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019

Case Number

2017009748

Action

Suspension

Discipline Start Date

12/22/2017

Discipline End Date

01/29/2018

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 01/31/2018.