JEFFERSON H BOULWARE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051024916

License Status

INACTIVE

Business

First Name

JEFFERSON H

Last Name

BOULWARE

Business Name

JEFFERSON H BOULWARE

Original Issue Date

01/01/1997

Expiration Date

03/31/2000

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005