RYAN DONALD NOVAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155818

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

DONALD

Last Name

NOVAK

Business Name

RYAN DONALD NOVAK

Original Issue Date

06/28/2004

Effective Date

06/28/2004

Expiration Date

03/31/2005

City

EARLVILLE

State

Zip

60518

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/20/2005