JAMIE RYAN AUTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132044

License Status

NOT RENEWED

Business

First Name

JAMIE

Middle

RYAN

Last Name

AUTH

Business Name

JAMIE RYAN AUTH

Original Issue Date

08/08/2000

Effective Date

04/02/2018

Expiration Date

03/31/2019

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/15/2019