JAN ELIZABETH ERICKSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139721

License Status

NOT RENEWED

Business

First Name

JAN

Middle

ELIZABETH

Last Name

ERICKSEN

Business Name

JAN ELIZABETH ERICKSEN

Original Issue Date

12/28/2001

Effective Date

03/05/2018

Expiration Date

03/31/2019

City

KENOSHA

State

Zip

53140

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/15/2019