ETHAN JOHN HARSHA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049266097

License Status

NOT RENEWED

Business

First Name

ETHAN

Middle

JOHN

Last Name

HARSHA

Business Name

ETHAN JOHN HARSHA

Original Issue Date

06/18/2019

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/20/2021