CATHERINE ALTA RYAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154637

License Status

NOT RENEWED

Business

First Name

CATHERINE

Middle

ALTA

Last Name

RYAN

Business Name

CATHERINE ALTA RYAN

Original Issue Date

05/28/2004

Effective Date

05/28/2004

Expiration Date

03/31/2005

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/20/2005