DOUGLAS ALAN BOURN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049269427

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

ALAN

Last Name

BOURN

Business Name

DOUGLAS ALAN BOURN

Original Issue Date

11/22/2019

Effective Date

03/10/2021

Expiration Date

05/31/2022

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/27/2022