ERICA D MARCUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165126

License Status

NOT RENEWED

Business

First Name

ERICA

Middle

Last Name

MARCUM

Business Name

ERICA D MARCUM

Original Issue Date

11/21/2005

Effective Date

11/21/2005

Expiration Date

03/31/2006

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/11/2006