GREG M DAXENBICHLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098955

License Status

NOT RENEWED

Business

First Name

GREG M

Last Name

DAXENBICHLER

Business Name

GREG M DAXENBICHLER

Original Issue Date

12/19/1991

Effective Date

12/19/1991

Expiration Date

03/31/1992

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005