PENNY MARLENE DAUM - Pharmacist License in Illinois | # 049066021

PENNY MARLENE DAUM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066021

License Status

NOT RENEWED

Business

N

First Name

PENNY MARLENE

Last Name

DAUM

Business Name

PENNY MARLENE DAUM

Original Issue Date

09/03/1976

Effective Date

09/03/1976

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005