ERIN RENE TAAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119155

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

RENE

Last Name

TAAKE

Business Name

ERIN RENE TAAKE

Original Issue Date

10/24/1997

Effective Date

10/24/1997

Expiration Date

03/31/2001

City

ULLIN

State

Zip

62992

County

PULASKI

Ever Disciplined

LastModifiedDate

10/21/2005