ERIC D SIMPLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112374

License Status

NOT RENEWED

Business

First Name

ERIC D

Last Name

SIMPLE

Business Name

ERIC D SIMPLE

Original Issue Date

11/08/1995

Effective Date

03/04/2014

Expiration Date

03/31/2015

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/11/2015