SUZANNE E BOLEN - Pharmacist License in Illinois | # 049146081

SUZANNE E BOLEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146081

License Status

NOT RENEWED

Business

N

First Name

SUZANNE

Middle

E

Last Name

BOLEN

Business Name

SUZANNE E BOLEN

Original Issue Date

11/25/2002

Effective Date

01/09/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008