MICKIE LYNNE ERB Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140408

License Status

NOT RENEWED

Business

First Name

MICKIE

Middle

LYNNE

Last Name

ERB

Business Name

MICKIE LYNNE ERB

Original Issue Date

01/29/2002

Effective Date

01/29/2002

Expiration Date

03/31/2003

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/20/2005