SAMANTHA JO BOLTE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049212916

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

BOLTE

Prefix

Business Name

SAMANTHA JO BOLTE

Original Issue Date

08/18/2012

Effective Date

04/01/2015

Expiration Date

03/31/2016

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

05/20/2016