MICHAEL RYAN HUSEMANN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193197

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

RYAN

Last Name

HUSEMANN

Business Name

MICHAEL RYAN HUSEMANN

Original Issue Date

07/24/2009

Effective Date

01/12/2010

Expiration Date

03/31/2011

City

THAYER

State

Zip

62689

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/12/2011