RYAN SHAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049256218

License Status

NOT RENEWED

Business

First Name

RYAN

Last Name

SHAW

Business Name

RYAN SHAW

Original Issue Date

02/16/2018

Effective Date

02/16/2018

Expiration Date

03/31/2019

City

CALEDONIA

State

Zip

61011

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/15/2019