JACQUELINE BOLIVAR - Pharmacist License in Illinois | # 049228453

JACQUELINE BOLIVAR

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049228453

License Status

NOT RENEWED

Business

N

First Name

JACQUELINE

Last Name

BOLIVAR

Business Name

JACQUELINE BOLIVAR

Original Issue Date

10/11/2014

Effective Date

10/11/2014

Expiration Date

03/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2015