Debra Kay Bouma
ExpiredIllinois license 049059300
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049059300
- Status
- Expired (Not Renewed)
- First issued
- March 30, 1973
- Expired
- January 1, 1997
- License holder
- Debra Kay Bouma
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 03/30/1973
Contact
Rockford, IL 61103
Winnebago County