CRYSTAL RENEE R HOLLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108847

License Status

NOT RENEWED

Business

First Name

CRYSTAL RENEE

Middle

Last Name

HOLLEY

Business Name

CRYSTAL RENEE R HOLLEY

Original Issue Date

11/18/1994

Effective Date

11/18/1994

Expiration Date

03/31/2002

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

12/06/2005