ANNE MARIE BOLLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049103514

License Status

NOT RENEWED

Business

First Name

ANNE MARIE

Last Name

BOLLER

Business Name

ANNE MARIE BOLLER

Original Issue Date

05/21/1993

Effective Date

05/21/1993

Expiration Date

03/31/1994

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/17/2005