DYLAN MATHEW EBERHART Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204466

License Status

NOT RENEWED

Business

First Name

DYLAN

Middle

MATHEW

Last Name

EBERHART

Business Name

DYLAN MATHEW EBERHART

Original Issue Date

05/27/2011

Effective Date

03/22/2012

Expiration Date

03/31/2013

City

EAST ALTON

State

Zip

62024

County

MADISON

Ever Disciplined

LastModifiedDate

05/06/2013