ERIC SHAY WILLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160346

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

SHAY

Last Name

WILLIS

Business Name

ERIC SHAY WILLIS

Original Issue Date

04/19/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

PETERSBURG

State

Zip

62675

County

MENARD

Ever Disciplined

LastModifiedDate

05/02/2008