ERIC EDWARD SKINNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127399

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

EDWARD

Last Name

SKINNER

Business Name

ERIC EDWARD SKINNER

Original Issue Date

09/13/1999

Effective Date

09/13/1999

Expiration Date

03/31/2003

City

BETHALTO

State

Zip

62010

County

MADISON

Ever Disciplined

LastModifiedDate

10/20/2005