NEELY LAINE HOLLAND Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121899

License Status

NOT RENEWED

Business

First Name

NEELY

Middle

LAINE

Last Name

HOLLAND

Business Name

NEELY LAINE HOLLAND

Original Issue Date

07/09/1998

Effective Date

07/09/1998

Expiration Date

03/31/2000

City

RIVERTON

State

Zip

62561

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005