KENNETH TODD ERICKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131892

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

TODD

Last Name

ERICKSON

Business Name

KENNETH TODD ERICKSON

Original Issue Date

07/28/2000

Effective Date

03/18/2013

Expiration Date

03/31/2014

City

TOLUCA

State

Zip

61369

County

MARSHALL

Ever Disciplined

LastModifiedDate

05/06/2014