WARREN L DASTRUP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060911

License Status

NOT RENEWED

Business

First Name

WARREN L

Last Name

DASTRUP

Business Name

WARREN L DASTRUP

Original Issue Date

02/04/1974

Effective Date

02/04/1974

Expiration Date

01/01/1997

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005