ILISA N FARRELL-ERICSSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194992

License Status

NOT RENEWED

Business

First Name

ILISA

Middle

Last Name

FARRELL-ERICSSON

Business Name

ILISA N FARRELL-ERICSSON

Original Issue Date

10/23/2009

Effective Date

10/23/2009

Expiration Date

03/31/2010

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010