SHANNON M HOLTHAUS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150342

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

HOLTHAUS

Business Name

SHANNON M HOLTHAUS

Original Issue Date

08/25/2003

Effective Date

08/25/2003

Expiration Date

03/31/2004

City

MONTICELLO

State

Zip

61856

County

PIATT

Ever Disciplined

LastModifiedDate

10/20/2005