KELLYE S HOLTGRAVE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049083404

License Status

NOT RENEWED

Business

First Name

KELLYE S

Last Name

HOLTGRAVE

Business Name

KELLYE S HOLTGRAVE

Original Issue Date

10/02/1986

Effective Date

10/02/1986

Expiration Date

03/31/1991

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005