STACY BOLOGNINI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152627

License Status

NOT RENEWED

Business

First Name

STACY

Last Name

BOLOGNINI

Business Name

STACY BOLOGNINI

Original Issue Date

12/18/2003

Effective Date

03/28/2011

Expiration Date

03/31/2012

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

05/07/2012