RYAN CLARKE SHAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049260491

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

CLARKE

Last Name

SHAW

Business Name

RYAN CLARKE SHAW

Original Issue Date

10/10/2018

Effective Date

03/25/2019

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

01/08/2021