Jeffery D Boucher
ExpiredIllinois license 049105969
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049105969
- Status
- Expired (Not Renewed)
- First issued
- February 14, 1994
- Expired
- March 31, 1995
- License holder
- Jeffery D Boucher
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 02/14/1994
Contact
Mackinaw, IL 61755
Tazewell County