ETHAN MICHEAL EDLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049288466

License Status

NOT RENEWED

Business

First Name

ETHAN

Middle

MICHEAL

Last Name

EDLEY

Business Name

ETHAN MICHEAL EDLEY

Original Issue Date

11/29/2021

Effective Date

04/06/2022

Expiration Date

03/31/2023

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

09/07/2023