RYAN LEE FUNKHOUSER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180512

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

LEE

Last Name

FUNKHOUSER

Business Name

RYAN LEE FUNKHOUSER

Original Issue Date

11/13/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

05/06/2009