KELSEY DIANE BOHLING Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162290

License Status

NOT RENEWED

Business

First Name

KELSEY

Middle

DIANE

Last Name

BOHLING

Business Name

KELSEY DIANE BOHLING

Original Issue Date

07/15/2005

Effective Date

07/15/2005

Expiration Date

03/31/2006

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/11/2006