DYNELL LE BOUVIA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049273550

License Status

NOT RENEWED

Business

First Name

DYNELL

Middle

Last Name

BOUVIA

Business Name

DYNELL LE BOUVIA

Original Issue Date

06/02/2020

Effective Date

01/10/2021

Expiration Date

05/31/2022

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

07/27/2022