HOLLY JOHNSON SIDERS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128754

License Status

NOT RENEWED

Business

First Name

HOLLY

Middle

JOHNSON

Last Name

SIDERS

Business Name

HOLLY JOHNSON SIDERS

Original Issue Date

12/28/1999

Effective Date

12/28/1999

Expiration Date

03/31/2001

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

10/21/2005