JOSHUA JAMES BOUDEMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162504

License Status

NOT RENEWED

Business

First Name

JOSHUA

Middle

JAMES

Last Name

BOUDEMAN

Business Name

JOSHUA JAMES BOUDEMAN

Original Issue Date

07/26/2005

Effective Date

01/20/2011

Expiration Date

03/31/2012

City

ST LOUIS

State

Zip

63116

Ever Disciplined

LastModifiedDate

05/07/2012