ERIC D KIZZIAH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149705

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

Last Name

KIZZIAH

Business Name

ERIC D KIZZIAH

Original Issue Date

08/07/2003

Effective Date

08/07/2003

Expiration Date

03/31/2006

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/11/2006