RUBEN AYALA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140590

License Status

NOT RENEWED

Business

First Name

RUBEN

Last Name

AYALA

Business Name

RUBEN AYALA

Original Issue Date

02/07/2002

Effective Date

02/07/2002

Expiration Date

03/31/2003

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005