DANIELLE L GAULT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136466

License Status

NOT RENEWED

Business

First Name

DANIELLE

Middle

Last Name

GAULT

Business Name

DANIELLE L GAULT

Original Issue Date

05/29/2001

Effective Date

05/29/2001

Expiration Date

03/31/2003

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/20/2005