RYAN NICKOLAS MULLEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153794

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

NICKOLAS

Last Name

MULLEN

Business Name

RYAN NICKOLAS MULLEN

Original Issue Date

03/19/2004

Effective Date

03/19/2004

Expiration Date

03/31/2006

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

05/11/2006