MICHELLE MARIE HOLEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145531

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

MARIE

Last Name

HOLEN

Business Name

MICHELLE MARIE HOLEN

Original Issue Date

10/25/2002

Effective Date

10/25/2002

Expiration Date

03/31/2005

City

ST LOUIS

State

Zip

63139

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/20/2005