JILL A BOLLMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049075909

License Status

NOT RENEWED

Business

First Name

JILL A

Last Name

BOLLMAN

Business Name

JILL A BOLLMAN

Original Issue Date

01/22/1982

Effective Date

01/22/1982

Expiration Date

03/31/1984

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/17/2005