ERIN RENE HAVRILKA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168123

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

RENE

Last Name

HAVRILKA

Business Name

ERIN RENE HAVRILKA

Original Issue Date

04/25/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

05/02/2008