JENNIFER LYNN BOHLEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139047

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

LYNN

Last Name

BOHLEN

Business Name

JENNIFER LYNN BOHLEN

Original Issue Date

11/05/2001

Effective Date

03/04/2009

Expiration Date

03/31/2010

City

MANSFIELD

State

Zip

61854

County

PIATT

Ever Disciplined

LastModifiedDate

05/04/2010