STACY DAWN HOLMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146900

License Status

NOT RENEWED

Business

First Name

STACY

Middle

DAWN

Last Name

HOLMAN

Business Name

STACY DAWN HOLMAN

Original Issue Date

01/31/2003

Effective Date

01/31/2003

Expiration Date

03/31/2006

City

MACON

State

Zip

62544

County

MACON

Ever Disciplined

LastModifiedDate

05/11/2006