THERESA L HOLLOWAY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153030

License Status

NOT RENEWED

Business

First Name

THERESA

Middle

Last Name

HOLLOWAY

Business Name

THERESA L HOLLOWAY

Original Issue Date

01/27/2004

Effective Date

02/13/2019

Expiration Date

09/30/2020

City

MARISSA

State

Zip

62257

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

01/08/2021