JUSTIN CHARLES BOUDEMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051296248

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

CHARLES

Last Name

BOUDEMAN

Business Name

JUSTIN CHARLES BOUDEMAN

Original Issue Date

09/20/2012

Effective Date

09/20/2012

Expiration Date

03/31/2014

City

ST. LOUIS

State

Zip

63118

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/06/2014