License holder summary

GREGORY WALTER BOLESTA is a Pharmacy - Authorization to Administer Injectables licensed to practice in Pennsylvania. The address on file for GREGORY WALTER BOLESTA is PLYMOUTH PA 18651. This licensed professional license is current. The license was granted 10/06/2011 and expired on 09/30/2016.

Pennsylvania

Department of State

GREGORY WALTER BOLESTA
Pharmacy - Authorization to Administer Injectables
License number
RPI005868
Date granted
10/06/2011
Date expires
09/30/2016
Class
Pharmacy - Authorization to Administer Injectables
Status
Active
Address
PLYMOUTH PA 18651
palicensing.org
ID 17050400
LAST UPDATED 2024-02-08 19:50:23 UTC

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