JUSTIN WYATT BOORDE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049246265

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

WYATT

Last Name

BOORDE

Business Name

JUSTIN WYATT BOORDE

Original Issue Date

11/15/2016

Effective Date

04/11/2017

Expiration Date

03/31/2018

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/19/2018