LOREN JOSEPH BOTOLETTO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104368

License Status

NOT RENEWED

Business

First Name

LOREN JOSEPH

Last Name

BOTOLETTO

Business Name

LOREN JOSEPH BOTOLETTO

Original Issue Date

08/26/1993

Effective Date

08/26/1993

Expiration Date

03/31/1994

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005