TRAVIS W HOLLOWAY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127192

License Status

NOT RENEWED

Business

First Name

TRAVIS

Middle

Last Name

HOLLOWAY

Business Name

TRAVIS W HOLLOWAY

Original Issue Date

08/26/1999

Effective Date

08/26/1999

Expiration Date

03/31/2003

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

10/20/2005