RYAN JOHN BIRK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183372

License Status

INACTIVE

Business

First Name

RYAN

Middle

JOHN

Last Name

BIRK

Business Name

RYAN JOHN BIRK

Original Issue Date

04/07/2008

Effective Date

01/17/2013

Expiration Date

03/31/2014

City

WATERLOO

State

Zip

62298

Ever Disciplined

LastModifiedDate

01/09/2014