ERIC CARL ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171257

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

CARL

Last Name

ANDERSON

Business Name

ERIC CARL ANDERSON

Original Issue Date

09/13/2006

Effective Date

03/30/2016

Expiration Date

03/31/2017

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/10/2017