LANCE HOLM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049237439

License Status

NOT RENEWED

Business

First Name

LANCE

Last Name

HOLM

Business Name

LANCE HOLM

Original Issue Date

11/04/2015

Effective Date

11/04/2015

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60651

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016