DEBRA GAY BOLASH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140317

License Status

NOT RENEWED

Business

First Name

DEBRA

Middle

GAY

Last Name

BOLASH

Business Name

DEBRA GAY BOLASH

Original Issue Date

01/21/2002

Effective Date

01/21/2002

Expiration Date

03/31/2004

City

DIVERNON

State

Zip

62530

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/20/2005