RYAN MASON EDWIN MILLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115325

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

MASON EDWIN

Last Name

MILLER

Business Name

RYAN MASON EDWIN MILLER

Original Issue Date

09/23/1996

Effective Date

09/23/1996

Expiration Date

03/31/1998

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

10/17/2005