RYAN L BULAVA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135350

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

Last Name

BULAVA

Business Name

RYAN L BULAVA

Original Issue Date

03/21/2001

Effective Date

03/21/2001

Expiration Date

03/31/2005

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005