JILLIAN A BOMLENY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126997

License Status

NOT RENEWED

Business

First Name

JILLIAN

Middle

Last Name

BOMLENY

Business Name

JILLIAN A BOMLENY

Original Issue Date

08/17/1999

Effective Date

08/17/1999

Expiration Date

03/31/2005

City

GENESEO

State

Zip

61254

County

HENRY

Ever Disciplined

LastModifiedDate

10/20/2005