ERICA NICOLE KELLERMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121559

License Status

NOT RENEWED

Business

First Name

ERICA

Middle

NICOLE

Last Name

KELLERMAN

Business Name

ERICA NICOLE KELLERMAN

Original Issue Date

06/16/1998

Effective Date

06/16/1998

Expiration Date

03/31/2000

City

PINCKNEYVILLE

State

Zip

62274

County

PERRY

Ever Disciplined

LastModifiedDate

10/21/2005