LAVERN R HOLMLUND Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051028334

License Status

INACTIVE

Business

First Name

LAVERN R

Last Name

HOLMLUND

Business Name

LAVERN R HOLMLUND

Original Issue Date

01/01/1997

Effective Date

02/01/2018

Expiration Date

09/30/2020

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

01/04/2020