Jeremy Walter Boushelle
ExpiredIllinois license 049198414
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049198414
- Status
- Expired (Not Renewed)
- First issued
- May 17, 2010
- Expired
- March 31, 2011
- License holder
- Jeremy Walter Boushelle
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 05/17/2010
Contact
Chicago, IL 60625
Cook County