TOLLY J KNEZEVICH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147807

License Status

NOT RENEWED

Business

First Name

TOLLY

Middle

Last Name

KNEZEVICH

Business Name

TOLLY J KNEZEVICH

Original Issue Date

04/03/2003

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2009