ERICA ROSE DEITERS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130494

License Status

NOT RENEWED

Business

First Name

ERICA

Middle

ROSE

Last Name

DEITERS

Business Name

ERICA ROSE DEITERS

Original Issue Date

04/11/2000

Effective Date

04/11/2000

Expiration Date

03/31/2001

City

BREESE

State

Zip

62230

County

CLINTON

Ever Disciplined

LastModifiedDate

10/21/2005