TABITHA BOLT - Pharmacist License in Illinois | # 049286459

TABITHA BOLT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049286459

License Status

NOT RENEWED

Business

N

First Name

TABITHA

Last Name

BOLT

Business Name

TABITHA BOLT

Original Issue Date

10/19/2021

Effective Date

10/19/2021

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022