PATRICE VIBER HOLTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156555

License Status

NOT RENEWED

Business

First Name

PATRICE

Middle

VIBER

Last Name

HOLTON

Business Name

PATRICE VIBER HOLTON

Original Issue Date

08/11/2004

Effective Date

11/17/2018

Expiration Date

03/31/2019

City

ELGIN

State

Zip

60120

County

KANE

Ever Disciplined

LastModifiedDate

07/15/2019