CONNIE L HOLLENBECK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139472

License Status

NOT RENEWED

Business

First Name

CONNIE

Middle

Last Name

HOLLENBECK

Business Name

CONNIE L HOLLENBECK

Original Issue Date

12/04/2001

Effective Date

02/08/2012

Expiration Date

03/31/2013

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2013