ERICK D DAWALT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140243

License Status

NOT RENEWED

Business

First Name

ERICK

Middle

Last Name

DAWALT

Business Name

ERICK D DAWALT

Original Issue Date

01/18/2002

Effective Date

01/18/2002

Expiration Date

03/31/2003

City

PERU

State

Zip

46970

County

INDIANA

Ever Disciplined

LastModifiedDate

10/20/2005