SHANDA NICOLE BUBOLZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049309334

License Status

NOT RENEWED

Business

First Name

SHANDA

Middle

NICOLE

Last Name

BUBOLZ

Business Name

SHANDA NICOLE BUBOLZ

Original Issue Date

01/25/2024

Effective Date

01/25/2024

Expiration Date

03/31/2025

City

WINNEBAGO

State

Zip

61088

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/08/2025

Case Number

2025000068

Action

Suspension

Discipline Start Date

03/17/2025

Discipline Reason

Failure to file and/or pay Illinois state income taxes.