KYRSTEN FAITH HOLDERBY MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049263097

License Status

NOT RENEWED

Business

Title

First Name

KYRSTEN

Middle

FAITH

Last Name

HOLDERBY

Business Name

KYRSTEN FAITH HOLDERBY MD

Original Issue Date

02/06/2019

Effective Date

05/10/2021

Expiration Date

05/31/2022

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/27/2022