DAPHNE MICHELLE BROWN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117537

License Status

NOT RENEWED

Business

First Name

DAPHNE

Middle

MICHELLE

Last Name

BROWN

Business Name

DAPHNE MICHELLE BROWN

Original Issue Date

05/12/1997

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/02/2008