HELEN LA-VERNE HOLT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060481

License Status

NOT RENEWED

Business

First Name

HELEN LA-VERNE

Last Name

HOLT

Business Name

HELEN LA-VERNE HOLT

Original Issue Date

10/15/1973

Effective Date

10/15/1973

Expiration Date

03/31/2004

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/20/2005