ANTHONY DWAYNE DANIEL - Pharmacist License in Illinois | # 049126391

ANTHONY DWAYNE DANIEL

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126391

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005