FLORENCE L MANSHOLT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094061

License Status

NOT RENEWED

Business

First Name

FLORENCE L

Last Name

MANSHOLT

Business Name

FLORENCE L MANSHOLT

Original Issue Date

08/04/1990

Effective Date

08/04/1990

Expiration Date

03/31/1992

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

10/17/2005