LOURDES M BOLOTAULO - Pharmacist License in Illinois | # 049060439

LOURDES M BOLOTAULO

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060439

License Status

CANCELLED

Business

N

First Name

LOURDES M

Last Name

BOLOTAULO

Business Name

LOURDES M BOLOTAULO

Original Issue Date

10/15/1973

Effective Date

10/15/1973

Expiration Date

03/31/1984

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005