RYAN L SIDWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049189303

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

Last Name

SIDWELL

Prefix

Business Name

RYAN L SIDWELL

Original Issue Date

01/22/2009

Effective Date

01/22/2009

Expiration Date

03/31/2010

City

CASEY

State

Zip

62420

County

CLARK

Ever Disciplined

LastModifiedDate

05/04/2010