JODI R BOELENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255481

License Status

NOT RENEWED

Business

First Name

JODI

Middle

Last Name

BOELENS

Business Name

JODI R BOELENS

Original Issue Date

01/12/2018

Effective Date

01/12/2018

Expiration Date

03/31/2019

City

POLO

State

Zip

61064

Ever Disciplined

LastModifiedDate

07/15/2019