ANTONIO BOLANOS - Pharmacist License in Illinois | # 049148153

ANTONIO BOLANOS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148153

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005