TARA A BOLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147240

License Status

NOT RENEWED

Business

First Name

TARA

Middle

Last Name

BOLIS

Business Name

TARA A BOLIS

Original Issue Date

03/05/2003

Effective Date

03/05/2003

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005