ERIN DYAN NIEZGUCKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049262341

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

DYAN

Last Name

NIEZGUCKI

Business Name

ERIN DYAN NIEZGUCKI

Original Issue Date

12/24/2018

Effective Date

05/01/2019

Expiration Date

09/30/2020

City

DAVENPORT

State

Zip

52803

Ever Disciplined

LastModifiedDate

01/08/2021