ERIC D GLENN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184266

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

Last Name

GLENN

Business Name

ERIC D GLENN

Original Issue Date

05/14/2008

Effective Date

03/24/2009

Expiration Date

03/31/2010

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/04/2010