TELLMA AMANDA RYAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157371

License Status

NOT RENEWED

Business

First Name

TELLMA

Middle

AMANDA

Last Name

RYAN

Business Name

TELLMA AMANDA RYAN

Original Issue Date

10/07/2004

Effective Date

03/17/2014

Expiration Date

03/31/2015

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2015