MANIE JO HOMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155864

License Status

NOT RENEWED

Business

First Name

MANIE

Middle

Last Name

HOMAN

Business Name

MANIE JO HOMAN

Original Issue Date

06/30/2004

Effective Date

02/24/2011

Expiration Date

03/31/2012

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

05/07/2012