DAVID MANSOUR BOLOS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132106

License Status

NOT RENEWED

Business

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

City

STREAMWOOD

State

Zip

60107

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010