AMY L ERWIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099579

License Status

NOT RENEWED

Business

First Name

AMY L

Last Name

ERWIN

Business Name

AMY L ERWIN

Original Issue Date

03/05/1992

Effective Date

03/05/1992

Expiration Date

03/31/1997

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

10/17/2005