CONNIE J BOLLMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049078376

License Status

NOT RENEWED

Business

First Name

CONNIE J

Last Name

BOLLMAN

Business Name

CONNIE J BOLLMAN

Original Issue Date

06/03/1983

Effective Date

03/04/2019

Expiration Date

09/30/2020

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

01/08/2021