LARRY A BOLTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068009

License Status

NOT RENEWED

Business

First Name

LARRY A

Last Name

BOLTON

Business Name

LARRY A BOLTON

Original Issue Date

09/02/1977

Effective Date

09/02/1977

Expiration Date

03/31/1986

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005