TIFFANY SHAE HOLLOMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151504

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

SHAE

Last Name

HOLLOMAN

Business Name

TIFFANY SHAE HOLLOMAN

Original Issue Date

10/09/2003

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

VIENNA

State

Zip

62995

County

JOHNSON

Ever Disciplined

LastModifiedDate

05/14/2007