MARK B BOECKMANN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051037564

License Status

NOT RENEWED

Business

First Name

MARK B

Last Name

BOECKMANN

Business Name

MARK B BOECKMANN

Original Issue Date

09/02/1989

Effective Date

09/02/1989

Expiration Date

03/31/1992

City

GERMANTOWN

State

Zip

62245

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005