HOLLY ROSE VAN GORDEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049274637

License Status

NOT RENEWED

Business

First Name

HOLLY

Middle

ROSE

Last Name

VAN GORDEN

Business Name

HOLLY ROSE VAN GORDEN

Original Issue Date

07/27/2020

Effective Date

07/27/2020

Expiration Date

03/31/2021

City

JOLIET

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

07/20/2021