KEITH M ERIKSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049231591

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

Last Name

ERIKSEN

Prefix

Business Name

KEITH M ERIKSEN

Original Issue Date

03/09/2015

Effective Date

03/09/2015

Expiration Date

03/31/2016

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/20/2016