RYAN JACOB NELSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049279053

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

JACOB

Last Name

NELSON

Business Name

RYAN JACOB NELSON

Original Issue Date

01/29/2021

Effective Date

04/08/2022

Expiration Date

03/31/2023

City

MARQUETTE HEIGHTS

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/07/2023