HOLLY M MANUEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049212730

License Status

NOT RENEWED

Business

First Name

HOLLY

Middle

Last Name

MANUEL

Prefix

Business Name

HOLLY M MANUEL

Original Issue Date

08/07/2012

Effective Date

06/19/2014

Expiration Date

03/31/2015

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2015