TABITHA BOLT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049286459

License Status

NOT RENEWED

Business

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

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

07/27/2022