MARY K ERICSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049220645

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

ERICSON

Prefix

Business Name

MARY K ERICSON

Original Issue Date

09/07/2013

Effective Date

03/16/2015

Expiration Date

03/31/2016

City

OGLESBY

State

Zip

61348

County

LA SALLE

Ever Disciplined

LastModifiedDate

05/20/2016