DEBORAH A BOLUM - Pharmacist License in Illinois | # 049203115

DEBORAH A BOLUM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203115

License Status

NOT RENEWED

Business

N

First Name

DEBORAH

Middle

A

Last Name

BOLUM

Business Name

DEBORAH A BOLUM

Original Issue Date

03/10/2011

Effective Date

03/10/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012