ANTHONY DWAYNE DANIEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126391

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

DWAYNE

Last Name

DANIEL

Business Name

ANTHONY DWAYNE DANIEL

Original Issue Date

06/18/1999

Effective Date

06/18/1999

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005