KENNETH RAY BOLTON Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049054020

License Status

CANCELLED

Business

First Name

KENNETH RAY

Last Name

BOLTON

Business Name

KENNETH RAY BOLTON

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005