ETHAN A RICHARDSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049232021

License Status

NOT RENEWED

Business

First Name

ETHAN

Middle

Last Name

RICHARDSON

Business Name

ETHAN A RICHARDSON

Original Issue Date

03/30/2015

Effective Date

06/08/2017

Expiration Date

03/31/2018

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

06/19/2018