TRENT RYAN BUTLER DR Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051293970

License Status

INACTIVE

Business

Title

First Name

TRENT

Middle

RYAN

Last Name

BUTLER

Business Name

TRENT RYAN BUTLER DR

Original Issue Date

01/26/2010

Effective Date

01/19/2012

Expiration Date

03/31/2014

City

WEST LAFAYETTE

State

Zip

47906

County

INDIANA

Ever Disciplined

LastModifiedDate

01/09/2014