PATRICIA BOLLENBACH - Pharmacist License in Illinois | # 049073058

PATRICIA BOLLENBACH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073058

License Status

NOT RENEWED

Business

N

First Name

PATRICIA

Last Name

BOLLENBACH

Business Name

PATRICIA BOLLENBACH

Original Issue Date

06/06/1980

Effective Date

06/06/1980

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005