HOLLY D CHEZUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136335

License Status

NOT RENEWED

Business

First Name

HOLLY

Middle

Last Name

CHEZUM

Business Name

HOLLY D CHEZUM

Original Issue Date

05/17/2001

Effective Date

05/17/2001

Expiration Date

03/31/2006

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

05/11/2006