ERIN LOU FOURQUREAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139929

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

LOU

Last Name

FOURQUREAN

Business Name

ERIN LOU FOURQUREAN

Original Issue Date

01/10/2002

Effective Date

01/10/2002

Expiration Date

03/31/2003

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

10/20/2005