TERESA A BOLEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049085322

License Status

NOT RENEWED

Business

First Name

TERESA A

Last Name

BOLEN

Business Name

TERESA A BOLEN

Original Issue Date

09/29/1987

Effective Date

04/03/2019

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/08/2021