TRENT E HOLLAND Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029475

License Status

NOT RENEWED

Business

First Name

TRENT E

Last Name

HOLLAND

Business Name

TRENT E HOLLAND

Original Issue Date

04/05/1973

Effective Date

03/31/2004

Expiration Date

03/31/2006

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/11/2006