CARLEEN BOULTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051031943

License Status

NOT RENEWED

Business

First Name

CARLEEN

Last Name

BOULTON

Business Name

CARLEEN BOULTON

Original Issue Date

11/21/1977

Effective Date

01/04/2020

Expiration Date

07/31/2022

City

FARMINGTON

State

Zip

87401

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

10/14/2022