RYAN ANDREW PEDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150908

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

ANDREW

Last Name

PEDERSON

Business Name

RYAN ANDREW PEDERSON

Original Issue Date

09/24/2003

Effective Date

09/24/2003

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005