DOUGLAS J BOOTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029758

License Status

NOT RENEWED

Business

First Name

DOUGLAS J

Last Name

BOOTH

Business Name

DOUGLAS J BOOTH

Original Issue Date

10/06/1973

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

MICHIGAN CITY

State

Zip

46360

County

INDIANA

Ever Disciplined

LastModifiedDate

05/04/2010