ERICA LEANN BANE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196197

License Status

NOT RENEWED

Business

First Name

ERICA

Middle

LEANN

Last Name

BANE

Business Name

ERICA LEANN BANE

Original Issue Date

01/13/2010

Effective Date

02/22/2011

Expiration Date

03/31/2012

City

WENONA

State

Zip

61377

County

MARSHALL

Ever Disciplined

LastModifiedDate

05/07/2012