SHAYLYN R BOMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049271203

License Status

NOT RENEWED

Business

First Name

SHAYLYN

Middle

Last Name

BOMAN

Business Name

SHAYLYN R BOMAN

Original Issue Date

02/25/2020

Effective Date

01/10/2021

Expiration Date

05/31/2022

City

MONTICELLO

State

Zip

61856

County

PIATT

Ever Disciplined

LastModifiedDate

07/27/2022