MICHELLE J HOLMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165503

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

HOLMAN

Business Name

MICHELLE J HOLMAN

Original Issue Date

12/09/2005

Effective Date

03/09/2021

Expiration Date

05/31/2022

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/27/2022