ZOE GRACE BOUSEMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049247615

License Status

NOT RENEWED

Business

First Name

ZOE

Middle

GRACE

Last Name

BOUSEMAN

Business Name

ZOE GRACE BOUSEMAN

Original Issue Date

01/06/2017

Effective Date

01/14/2020

Expiration Date

03/31/2021

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/20/2021