MICHELLE A ERICKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171622

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

ERICKSON

Business Name

MICHELLE A ERICKSON

Original Issue Date

09/26/2006

Effective Date

09/26/2006

Expiration Date

03/31/2007

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/14/2007