VERA M DEBOLT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067562

License Status

NOT RENEWED

Business

First Name

VERA M

Last Name

DEBOLT

Business Name

VERA M DEBOLT

Original Issue Date

06/24/1977

Effective Date

06/24/1977

Expiration Date

03/31/1984

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005