LORRAINE S HOLTAM Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066703

License Status

CANCELLED

Business

First Name

LORRAINE S

Last Name

HOLTAM

Business Name

LORRAINE S HOLTAM

Original Issue Date

01/21/1977

Effective Date

01/21/1977

Expiration Date

03/31/1984

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005