DANIEL A EZELL Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116494

License Status

INACTIVE

Business

First Name

DANIEL

Middle

Last Name

EZELL

Business Name

DANIEL A EZELL

Original Issue Date

02/11/1997

Effective Date

01/23/2012

Expiration Date

03/31/2013

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Ever Disciplined

LastModifiedDate

01/03/2013