HOLLY ROCHELLE BLOODWORTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154454

License Status

NOT RENEWED

Business

First Name

HOLLY

Middle

ROCHELLE

Last Name

BLOODWORTH

Business Name

HOLLY ROCHELLE BLOODWORTH

Original Issue Date

05/21/2004

Effective Date

05/21/2004

Expiration Date

03/31/2005

City

MARION

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/20/2005