ETHAN PAUL ZOLLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049272439

License Status

NOT RENEWED

Business

First Name

ETHAN

Middle

PAUL

Last Name

ZOLLER

Business Name

ETHAN PAUL ZOLLER

Original Issue Date

04/09/2020

Effective Date

01/10/2021

Expiration Date

05/31/2022

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

07/27/2022