Bruce Boushon
ExpiredIllinois license 049116699
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049116699
- Status
- Expired (Not Renewed)
- First issued
- March 6, 1997
- Expired
- March 31, 1998
- License holder
- Bruce Boushon
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 03/06/1997
Contact
Park Falls, WI 54552
Wisconsin County