ERIC MICHAEL DOXSTADER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206600

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

MICHAEL

Last Name

DOXSTADER

Business Name

ERIC MICHAEL DOXSTADER

Original Issue Date

09/12/2011

Effective Date

03/16/2012

Expiration Date

03/31/2013

City

COAL VALLEY

State

Zip

61240

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/06/2013