ERICA S HAGBOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159352

License Status

NOT RENEWED

Business

First Name

ERICA

Middle

Last Name

HAGBOM

Business Name

ERICA S HAGBOM

Original Issue Date

02/23/2005

Effective Date

02/23/2005

Expiration Date

03/31/2006

City

FORREST

State

Zip

61741

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

05/14/2007