AVA LYNN IBATA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049279040

License Status

NOT RENEWED

Business

First Name

AVA

Middle

LYNN

Last Name

IBATA

Business Name

AVA LYNN IBATA

Original Issue Date

01/28/2021

Effective Date

03/26/2024

Expiration Date

03/31/2025

City

GOLCONDA

State

Zip

62938

County

POPE

Ever Disciplined

LastModifiedDate

07/08/2025