ERIN MARIE DORSAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178459

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

MARIE

Last Name

DORSAM

Business Name

ERIN MARIE DORSAM

Original Issue Date

08/15/2007

Effective Date

01/12/2010

Expiration Date

03/31/2011

City

HERCULANEUM

State

Zip

63048

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/12/2011