SHELLY J BOLEN - Pharmacist License in Illinois | # 049196044

SHELLY J BOLEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196044

License Status

NOT RENEWED

Business

N

First Name

SHELLY

Middle

J

Last Name

BOLEN

Business Name

SHELLY J BOLEN

Original Issue Date

01/04/2010

Effective Date

01/04/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011