MICHELLE M RYAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145645

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

RYAN

Business Name

MICHELLE M RYAN

Original Issue Date

11/04/2002

Effective Date

11/04/2002

Expiration Date

03/31/2004

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005