HOLLY N BURGRABE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154246

License Status

NOT RENEWED

Business

First Name

HOLLY

Middle

Last Name

BURGRABE

Business Name

HOLLY N BURGRABE

Original Issue Date

05/18/2004

Effective Date

05/18/2004

Expiration Date

03/31/2005

City

ENERGY

State

Zip

62933

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/20/2005