TERESA GA HOLLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049215088

License Status

NOT RENEWED

Business

First Name

TERESA

Middle

Last Name

HOLLIS

Prefix

Business Name

TERESA GA HOLLIS

Original Issue Date

12/19/2012

Effective Date

01/19/2017

Expiration Date

03/31/2018

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/19/2018