LOURDES M BOLOTAULO Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060439

License Status

CANCELLED

Business

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

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005