WENDY DEBOLT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060943

License Status

NOT RENEWED

Business

First Name

WENDY

Last Name

DEBOLT

Business Name

WENDY DEBOLT

Original Issue Date

02/11/1974

Effective Date

02/11/1974

Expiration Date

01/01/1997

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005