CHANNING JO HOLTMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049217679

License Status

NOT RENEWED

Business

First Name

CHANNING

Middle

Last Name

HOLTMAN

Prefix

Business Name

CHANNING JO HOLTMAN

Original Issue Date

04/30/2013

Effective Date

04/30/2013

Expiration Date

03/31/2014

City

ASHKUM

State

Zip

60911

Ever Disciplined

LastModifiedDate

05/06/2014