SUE A ERICKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049110020

License Status

NOT RENEWED

Business

First Name

SUE A

Last Name

ERICKSON

Business Name

SUE A ERICKSON

Original Issue Date

04/03/1995

Effective Date

04/03/1995

Expiration Date

03/31/1996

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005