KRYSTYN A BOLAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170321

License Status

NOT RENEWED

Business

First Name

KRYSTYN

Middle

Last Name

BOLAN

Business Name

KRYSTYN A BOLAN

Original Issue Date

07/31/2006

Effective Date

02/04/2009

Expiration Date

03/31/2010

City

OAK CREEK

State

Zip

53154

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/04/2010