BENJAMIN J HOLTKAMP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126149

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

Last Name

HOLTKAMP

Business Name

BENJAMIN J HOLTKAMP

Original Issue Date

06/02/1999

Effective Date

06/02/1999

Expiration Date

03/31/2005

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

10/20/2005