BRIAN BOLSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049283657

License Status

NOT RENEWED

Business

First Name

BRIAN

Last Name

BOLSEN

Business Name

BRIAN BOLSEN

Original Issue Date

06/23/2021

Effective Date

05/21/2022

Expiration Date

03/31/2023

City

ATWOOD

State

Zip

61913

County

PIATT

Ever Disciplined

LastModifiedDate

09/07/2023