DEBRA K DANIELSON Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070538

License Status

CANCELLED

Business

First Name

DEBRA K

Last Name

DANIELSON

Business Name

DEBRA K DANIELSON

Original Issue Date

01/12/1979

Effective Date

01/12/1979

Expiration Date

01/01/1997

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

10/17/2005