NELS H ERICKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051022738

License Status

NOT RENEWED

Business

First Name

NELS H

Last Name

ERICKSON

Business Name

NELS H ERICKSON

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005