ETHAN DAVID BOOTS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049246093

License Status

NOT RENEWED

Business

First Name

ETHAN

Middle

DAVID

Last Name

BOOTS

Business Name

ETHAN DAVID BOOTS

Original Issue Date

11/07/2016

Effective Date

11/07/2016

Expiration Date

03/31/2017

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/10/2017