ETHAN D WALSH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201768

License Status

NOT RENEWED

Business

First Name

ETHAN

Middle

Last Name

WALSH

Prefix

Business Name

ETHAN D WALSH

Original Issue Date

12/02/2010

Effective Date

02/25/2020

Expiration Date

03/31/2021

City

CASEYVILLE

State

Zip

62232

County

MACON

Ever Disciplined

LastModifiedDate

07/20/2021