DIANE M BOLDEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049103553

License Status

NOT RENEWED

Business

First Name

DIANE M

Last Name

BOLDEN

Business Name

DIANE M BOLDEN

Original Issue Date

05/26/1993

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

LANSING

State

Zip

60438

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007