TANAE JEAN BOGGS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049248996

License Status

NOT RENEWED

Business

First Name

TANAE

Middle

JEAN

Last Name

BOGGS

Business Name

TANAE JEAN BOGGS

Original Issue Date

03/09/2017

Effective Date

01/30/2020

Expiration Date

03/31/2021

City

TISKILWA

State

Zip

61368

County

BUREAU

Ever Disciplined

LastModifiedDate

07/20/2021