NICHOLAS ANDREW HOLMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049187646

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

ANDREW

Last Name

HOLMAN

Business Name

NICHOLAS ANDREW HOLMAN

Original Issue Date

10/14/2008

Effective Date

12/09/2009

Expiration Date

03/31/2010

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/04/2010