ERIC D WILLOUGHBY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144458

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

Last Name

WILLOUGHBY

Business Name

ERIC D WILLOUGHBY

Original Issue Date

09/04/2002

Effective Date

09/04/2002

Expiration Date

03/31/2004

City

BEACH PARK

State

Zip

60087

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005