HOLLY RACHELLE PAYNE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142379

License Status

NOT RENEWED

Business

First Name

HOLLY

Middle

RACHELLE

Last Name

PAYNE

Business Name

HOLLY RACHELLE PAYNE

Original Issue Date

05/09/2002

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2021