ERICK D DAWALT - Pharmacist License in Indiana | # 049140243

ERICK D DAWALT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140243

License Status

NOT RENEWED

Business

N

First Name

ERICK

Middle

D

Last Name

DAWALT

Business Name

ERICK D DAWALT

Original Issue Date

01/18/2002

Effective Date

01/18/2002

Expiration Date

03/31/2003

State

IN

Ever Disciplined

N

LastModifiedDate

10/20/2005