ERICA L WAHLS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158415

License Status

NOT RENEWED

Business

First Name

ERICA

Middle

Last Name

WAHLS

Business Name

ERICA L WAHLS

Original Issue Date

12/16/2004

Effective Date

03/09/2012

Expiration Date

03/31/2013

City

GILMAN

State

Zip

60938

Ever Disciplined

LastModifiedDate

05/06/2013