SAMANTHA D HOLMES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153723

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

HOLMES

Business Name

SAMANTHA D HOLMES

Original Issue Date

03/16/2004

Effective Date

03/16/2004

Expiration Date

03/31/2005

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

10/20/2005