ANGELA MARIE BOLLMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139197

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

MARIE

Last Name

BOLLMAN

Business Name

ANGELA MARIE BOLLMAN

Original Issue Date

11/13/2001

Effective Date

11/13/2001

Expiration Date

03/31/2005

City

LENA

State

Zip

61048

County

STEPHENSON

Ever Disciplined

LastModifiedDate

10/20/2005