EMILY BOATWRIGHT PROVENCE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051035623

License Status

NOT RENEWED

Business

First Name

EMILY BOATWRIGHT

Last Name

PROVENCE

Business Name

EMILY BOATWRIGHT PROVENCE

Original Issue Date

12/19/1984

Effective Date

12/19/1984

Expiration Date

03/31/1986

City

LISLE

State

Zip

60532

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005