RYAN A MONDAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049229295

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

Last Name

MONDAK

Prefix

Business Name

RYAN A MONDAK

Original Issue Date

11/15/2014

Effective Date

03/11/2015

Expiration Date

03/31/2016

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/20/2016