DEBORAH A BOLUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203115

License Status

NOT RENEWED

Business

First Name

DEBORAH

Middle

Last Name

BOLUM

Business Name

DEBORAH A BOLUM

Original Issue Date

03/10/2011

Effective Date

03/10/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012