ELLEN C HOLMBERG Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051028790

License Status

INACTIVE

Business

First Name

ELLEN C

Last Name

HOLMBERG

Business Name

ELLEN C HOLMBERG

Original Issue Date

01/01/1997

Effective Date

01/24/2012

Expiration Date

03/31/2014

City

DAVIS

State

Zip

61019

County

STEPHENSON

Ever Disciplined

LastModifiedDate

01/09/2014