JACQUELINE R HOLLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198372

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

Last Name

HOLLIS

Prefix

Business Name

JACQUELINE R HOLLIS

Original Issue Date

05/14/2010

Effective Date

03/29/2011

Expiration Date

03/31/2012

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

05/07/2012