ERICA LYNETTE MABERRY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145933

License Status

NOT RENEWED

Business

First Name

ERICA

Middle

LYNETTE

Last Name

MABERRY

Business Name

ERICA LYNETTE MABERRY

Original Issue Date

11/19/2002

Effective Date

11/19/2002

Expiration Date

03/31/2004

City

AUBURN

State

Zip

62615

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/20/2005