BRIAN R HOLTERHAUS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153363

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

HOLTERHAUS

Business Name

BRIAN R HOLTERHAUS

Original Issue Date

02/27/2004

Effective Date

02/27/2004

Expiration Date

03/31/2006

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/11/2006