ERIN MICHELLE MATHEWS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156741

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

MICHELLE

Last Name

MATHEWS

Business Name

ERIN MICHELLE MATHEWS

Original Issue Date

08/17/2004

Effective Date

08/17/2004

Expiration Date

03/31/2006

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/16/2007