DENNIS WAYNE ERICKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061992

License Status

NOT RENEWED

Business

First Name

DENNIS WAYNE

Last Name

ERICKSON

Business Name

DENNIS WAYNE ERICKSON

Original Issue Date

08/02/1974

Effective Date

08/02/1974

Expiration Date

03/31/1984

City

MILAN

State

Zip

61264

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005