RYAN RICHARD BOELTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148423

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

RICHARD

Last Name

BOELTER

Business Name

RYAN RICHARD BOELTER

Original Issue Date

05/05/2003

Effective Date

05/05/2003

Expiration Date

03/31/2006

City

RIVER GROVE

State

Zip

60171

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006