ETHAN DAVID BOOTS - Pharmacist License in Illinois | # 049246093

ETHAN DAVID BOOTS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049246093

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2017