ERIC CLAYTON TILLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163635

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

CLAYTON

Last Name

TILLIS

Business Name

ERIC CLAYTON TILLIS

Original Issue Date

09/07/2005

Effective Date

01/28/2015

Expiration Date

03/31/2016

City

OAKLAND

State

Zip

61943

County

COLES

Ever Disciplined

LastModifiedDate

05/20/2016