COREY M DOLAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143477

License Status

NOT RENEWED

Business

First Name

COREY

Middle

Last Name

DOLAN

Business Name

COREY M DOLAN

Original Issue Date

07/01/2002

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

05/02/2008