LACY C RYAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130835

License Status

NOT RENEWED

Business

First Name

LACY

Middle

Last Name

RYAN

Business Name

LACY C RYAN

Original Issue Date

05/16/2000

Effective Date

05/16/2000

Expiration Date

03/31/2001

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Ever Disciplined

LastModifiedDate

10/21/2005