JERRY L BOLIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058803

License Status

NOT RENEWED

Business

First Name

JERRY L

Last Name

BOLIN

Business Name

JERRY L BOLIN

Original Issue Date

12/09/1972

Effective Date

12/09/1972

Expiration Date

01/01/1997

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005