TY E ERICKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096743

License Status

NOT RENEWED

Business

First Name

TY E

Last Name

ERICKSON

Business Name

TY E ERICKSON

Original Issue Date

05/03/1991

Effective Date

05/03/1991

Expiration Date

03/31/1992

City

OFALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005