PATRICIA BOLLENBACH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073058

License Status

NOT RENEWED

Business

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

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005