ERIN L SOUTHWORTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118028

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

Last Name

SOUTHWORTH

Business Name

ERIN L SOUTHWORTH

Original Issue Date

07/03/1997

Effective Date

07/03/1997

Expiration Date

03/31/2003

City

SENECA

State

Zip

61360

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/20/2005