DELORES I ROLEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049076133

License Status

NOT RENEWED

Business

First Name

DELORES I

Last Name

ROLEN

Business Name

DELORES I ROLEN

Original Issue Date

03/05/1982

Effective Date

03/05/1982

Expiration Date

03/31/1986

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005