ERIN NICOLE SIUTS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183527

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

NICOLE

Last Name

SIUTS

Business Name

ERIN NICOLE SIUTS

Original Issue Date

04/14/2008

Effective Date

02/01/2010

Expiration Date

03/31/2011

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/12/2011