NANCY LEE BOLLIVAR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049074566

License Status

NOT RENEWED

Business

First Name

NANCY LEE

Last Name

BOLLIVAR

Business Name

NANCY LEE BOLLIVAR

Original Issue Date

05/01/1981

Effective Date

05/01/1981

Expiration Date

03/31/1986

City

MCLEAN

State

Zip

61754

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/17/2005