INEKE M VAN BOLDRIK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071501

License Status

NOT RENEWED

Business

First Name

INEKE M VAN

Last Name

BOLDRIK

Business Name

INEKE M VAN BOLDRIK

Original Issue Date

07/06/1979

Effective Date

07/06/1979

Expiration Date

01/01/1997

City

PARK FOREST

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005