HOLLY L MCDORMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157178

License Status

NOT RENEWED

Business

First Name

HOLLY

Middle

Last Name

MCDORMAN

Business Name

HOLLY L MCDORMAN

Original Issue Date

09/09/2004

Effective Date

03/27/2017

Expiration Date

03/31/2018

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

06/19/2018