ETHAN E TYUS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049237909

License Status

NOT RENEWED

Business

First Name

ETHAN

Middle

Last Name

TYUS

Business Name

ETHAN E TYUS

Original Issue Date

11/24/2015

Effective Date

02/05/2016

Expiration Date

03/31/2017

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/10/2017