WENDI T BOOMSMA Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049234661

License Status

INACTIVE

Business

First Name

WENDI

Middle

Last Name

BOOMSMA

Business Name

WENDI T BOOMSMA

Original Issue Date

07/21/2015

Effective Date

03/22/2021

Expiration Date

05/31/2022

City

LAFAYETTE

State

Zip

47909

County

COOK

Ever Disciplined

LastModifiedDate

02/23/2022