HOLLY J FUCA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193372

License Status

NOT RENEWED

Business

First Name

HOLLY

Middle

Last Name

FUCA

Prefix

Business Name

HOLLY J FUCA

Original Issue Date

08/03/2009

Effective Date

08/03/2009

Expiration Date

03/31/2010

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/04/2010