HOLLY ANN WELLMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049074608

License Status

NOT RENEWED

Business

First Name

HOLLY

Middle

ANN

Last Name

WELLMAN

Business Name

HOLLY ANN WELLMAN

Original Issue Date

05/01/1981

Effective Date

02/25/2013

Expiration Date

03/31/2014

City

CEDARVILLE

State

Zip

61013

County

STEPHENSON

Ever Disciplined

LastModifiedDate

05/06/2014