ELIZABETH ANN HOLLEYMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141134

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

ANN

Last Name

HOLLEYMAN

Business Name

ELIZABETH ANN HOLLEYMAN

Original Issue Date

03/05/2002

Effective Date

03/05/2002

Expiration Date

03/31/2003

City

BETHALTO

State

Zip

62010

County

MADISON

Ever Disciplined

LastModifiedDate

10/20/2005