LOURDES BOLOTAUL MARTINEZ Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051034558

License Status

INACTIVE

Business

First Name

LOURDES BOLOTAUL

Last Name

MARTINEZ

Business Name

LOURDES BOLOTAUL MARTINEZ

Original Issue Date

08/10/1982

Effective Date

02/06/2012

Expiration Date

03/31/2014

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

01/09/2014