MICHAEL RYAN MATHERLY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138222

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

RYAN

Last Name

MATHERLY

Business Name

MICHAEL RYAN MATHERLY

Original Issue Date

09/13/2001

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/02/2008