RYAN PAUL TIARKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161661

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

PAUL

Last Name

TIARKS

Business Name

RYAN PAUL TIARKS

Original Issue Date

06/13/2005

Effective Date

03/17/2009

Expiration Date

03/31/2010

City

SAVOY

State

Zip

61874

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/04/2010