MAXIE DUANEJR BOLDEN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051034346

License Status

INACTIVE

Business

First Name

MAXIE DUANEJR

Last Name

BOLDEN

Business Name

MAXIE DUANEJR BOLDEN

Original Issue Date

08/10/1982

Effective Date

08/10/1982

Expiration Date

03/31/1984

City

SOUTH BEND

State

Zip

46628

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005