DAN A RAFFERTY Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059383

License Status

CANCELLED

Business

First Name

DAN A

Last Name

RAFFERTY

Business Name

DAN A RAFFERTY

Original Issue Date

04/13/1973

Effective Date

04/13/1973

Expiration Date

01/01/1997

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005