DOUGLAS RYAN BRIDGES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140171

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

RYAN

Last Name

BRIDGES

Business Name

DOUGLAS RYAN BRIDGES

Original Issue Date

01/17/2002

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

05/14/2007