CLIFFORD EARL BOHLMAN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051027531

License Status

INACTIVE

Business

First Name

CLIFFORD EARL

Last Name

BOHLMAN

Business Name

CLIFFORD EARL BOHLMAN

Original Issue Date

01/01/1997

Expiration Date

03/31/2004

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

12/06/2005