DALE M BOLMS Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049050606

License Status

CANCELLED

Business

First Name

DALE M

Last Name

BOLMS

Business Name

DALE M BOLMS

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005