DANIELLE LEANNE SPAIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126911

License Status

NOT RENEWED

Business

First Name

DANIELLE

Middle

LEANNE

Last Name

SPAIN

Business Name

DANIELLE LEANNE SPAIN

Original Issue Date

08/09/1999

Effective Date

03/16/2009

Expiration Date

03/31/2010

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/04/2010