DAVID MANSOUR BOLOS - Pharmacist License in Illinois | # 049132106

DAVID MANSOUR BOLOS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132106

License Status

NOT RENEWED

Business

N

First Name

DAVID

Middle

MANSOUR

Last Name

BOLOS

Business Name

DAVID MANSOUR BOLOS

Original Issue Date

08/09/2000

Effective Date

03/11/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010