ERIC T ENGSTROM Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177560

License Status

INACTIVE

Business

First Name

ERIC

Middle

Last Name

ENGSTROM

Business Name

ERIC T ENGSTROM

Original Issue Date

07/03/2007

Effective Date

03/02/2009

Expiration Date

03/31/2010

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

01/12/2010