ETHAN JAMES PALMER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049259583

License Status

NOT RENEWED

Business

First Name

ETHAN

Middle

JAMES

Last Name

PALMER

Business Name

ETHAN JAMES PALMER

Original Issue Date

09/18/2018

Effective Date

09/18/2018

Expiration Date

03/31/2019

City

SOUTH BELOIT

State

Zip

61080

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/15/2019