KATHY ANN ERIKSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134685

License Status

NOT RENEWED

Business

First Name

KATHY

Middle

ANN

Last Name

ERIKSEN

Business Name

KATHY ANN ERIKSEN

Original Issue Date

02/22/2001

Effective Date

02/22/2001

Expiration Date

03/31/2006

City

OAKLAND

State

Zip

61943

County

COLES

Ever Disciplined

LastModifiedDate

05/11/2006