ERIC LAMONT CHISM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169586

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

LAMONT

Last Name

CHISM

Business Name

ERIC LAMONT CHISM

Original Issue Date

06/26/2006

Effective Date

06/26/2006

Expiration Date

03/31/2007

City

EAST SAINT LOUIS

State

Zip

62206

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/14/2007