ANITA L HOLLIBAUGH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060694

License Status

NOT RENEWED

Business

First Name

ANITA L

Last Name

HOLLIBAUGH

Business Name

ANITA L HOLLIBAUGH

Original Issue Date

12/10/1973

Effective Date

12/10/1973

Expiration Date

01/01/1997

City

NORTHLAKE

State

Zip

60164

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005