JACOB TIMOTHY ERICKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049282285

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

TIMOTHY

Last Name

ERICKSON

Business Name

JACOB TIMOTHY ERICKSON

Original Issue Date

05/14/2021

Effective Date

05/14/2021

Expiration Date

05/31/2022

City

WINNEBAGO

State

Zip

61088

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/27/2022