RYAN A WALLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123636

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

Last Name

WALLER

Business Name

RYAN A WALLER

Original Issue Date

11/09/1998

Effective Date

11/09/1998

Expiration Date

03/31/2000

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005