MARK ALLEN OVERHOLT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049106573

License Status

NOT RENEWED

Business

First Name

MARK ALLEN

Last Name

OVERHOLT

Business Name

MARK ALLEN OVERHOLT

Original Issue Date

04/12/1994

Effective Date

04/12/1994

Expiration Date

03/31/1997

City

GIFFORD

State

Zip

61847

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005