DANIEL OMAR BOLEAGA - Pharmacist License in Illinois | # 049312716

DANIEL OMAR BOLEAGA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049312716

License Status

NOT RENEWED

Business

N

First Name

DANIEL

Middle

OMAR

Last Name

BOLEAGA

Business Name

DANIEL OMAR BOLEAGA

Original Issue Date

06/04/2024

Effective Date

06/04/2024

Expiration Date

03/31/2025

State

IL

Ever Disciplined

N

LastModifiedDate

07/08/2025