LAURA M HOLT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061670

License Status

NOT RENEWED

Business

First Name

LAURA M

Last Name

HOLT

Business Name

LAURA M HOLT

Original Issue Date

06/14/1974

Effective Date

06/14/1974

Expiration Date

01/01/1997

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005