ETHAN KYLE RICHARDSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255227

License Status

NOT RENEWED

Business

First Name

ETHAN

Middle

KYLE

Last Name

RICHARDSON

Business Name

ETHAN KYLE RICHARDSON

Original Issue Date

12/28/2017

Effective Date

03/04/2019

Expiration Date

09/30/2020

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

01/08/2021