RYAN D BOENTE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156168

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

Last Name

BOENTE

Business Name

RYAN D BOENTE

Original Issue Date

07/26/2004

Effective Date

07/26/2004

Expiration Date

03/31/2005

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/20/2005