STACEY E BOLINE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170919

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

BOLINE

Business Name

STACEY E BOLINE

Original Issue Date

08/28/2006

Effective Date

03/03/2014

Expiration Date

03/31/2015

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

05/11/2015