HOLLY N SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158142

License Status

NOT RENEWED

Business

First Name

HOLLY

Middle

Last Name

SMITH

Business Name

HOLLY N SMITH

Original Issue Date

12/06/2004

Effective Date

12/06/2004

Expiration Date

03/31/2006

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

05/11/2006