LAURA A HOLLAWAY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161226

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

Last Name

HOLLAWAY

Business Name

LAURA A HOLLAWAY

Original Issue Date

05/23/2005

Effective Date

05/23/2005

Expiration Date

03/31/2006

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2006