SHIRLEY ANN ERICKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049076624

License Status

NOT RENEWED

Business

First Name

SHIRLEY ANN

Last Name

ERICKSON

Business Name

SHIRLEY ANN ERICKSON

Original Issue Date

06/25/1982

Effective Date

06/25/1982

Expiration Date

03/31/1991

City

MARTINSVILLE

State

Zip

62442

County

CLARK

Ever Disciplined

LastModifiedDate

10/17/2005