TERRENCE MICHAEL BOGOLIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100116

License Status

NOT RENEWED

Business

First Name

TERRENCE MICHAEL

Last Name

BOGOLIN

Business Name

TERRENCE MICHAEL BOGOLIN

Original Issue Date

05/09/1992

Effective Date

05/09/1992

Expiration Date

03/31/1993

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005