JAN R BOLDA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099754

License Status

NOT RENEWED

Business

First Name

JAN R

Last Name

BOLDA

Business Name

JAN R BOLDA

Original Issue Date

03/31/1992

Effective Date

03/31/1992

Expiration Date

03/31/2004

City

LANSING

State

Zip

60438

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005