PAUL ROBERT HOLVERSON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030484

License Status

INACTIVE

Business

First Name

PAUL ROBERT

Last Name

HOLVERSON

Business Name

PAUL ROBERT HOLVERSON

Original Issue Date

07/25/1975

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

01/04/2020