ERIC D SIPE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049220651

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

Last Name

SIPE

Prefix

Business Name

ERIC D SIPE

Original Issue Date

09/08/2013

Effective Date

09/08/2013

Expiration Date

03/31/2014

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

05/06/2014