RYAN C AGUSTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049188570

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

Last Name

AGUSTIN

Business Name

RYAN C AGUSTIN

Original Issue Date

12/05/2008

Effective Date

01/06/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010