NATHAN WILLIAM EIKENBERRY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049190479

License Status

NOT RENEWED

Business

First Name

NATHAN

Middle

WILLIAM

Last Name

EIKENBERRY

Business Name

NATHAN WILLIAM EIKENBERRY

Original Issue Date

03/25/2009

Effective Date

03/25/2009

Expiration Date

03/31/2010

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/04/2010