ANTONIO BOLANOS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148153

License Status

NOT RENEWED

Business

First Name

ANTONIO

Last Name

BOLANOS

Business Name

ANTONIO BOLANOS

Original Issue Date

04/18/2003

Effective Date

04/18/2003

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005