CARSYN RILEE BOUCHARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049270691

License Status

NOT RENEWED

Business

First Name

CARSYN

Middle

RILEE

Last Name

BOUCHARD

Business Name

CARSYN RILEE BOUCHARD

Original Issue Date

01/29/2020

Effective Date

01/29/2020

Expiration Date

03/31/2021

City

GILSON

State

Zip

61436

County

KNOX

Ever Disciplined

LastModifiedDate

07/20/2021