SHANNON SAMANTHA RYAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158141

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

SAMANTHA

Last Name

RYAN

Business Name

SHANNON SAMANTHA RYAN

Original Issue Date

12/06/2004

Effective Date

12/06/2004

Expiration Date

03/31/2006

City

LOCKPORT

State

Zip

60441

County

WILL

Ever Disciplined

LastModifiedDate

06/01/2011