SHANATA J HOLMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049208457

License Status

NOT RENEWED

Business

First Name

SHANATA

Middle

Last Name

HOLMAN

Business Name

SHANATA J HOLMAN

Original Issue Date

12/28/2011

Effective Date

03/20/2013

Expiration Date

03/31/2014

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

05/06/2014