ANDREW DALE BOLINE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049253583

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

DALE

Last Name

BOLINE

Business Name

ANDREW DALE BOLINE

Original Issue Date

10/05/2017

Effective Date

06/14/2021

Expiration Date

05/31/2022

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

07/27/2022