DANIEL JAMES BURNSIDE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139828

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

JAMES

Last Name

BURNSIDE

Business Name

DANIEL JAMES BURNSIDE

Original Issue Date

01/07/2002

Effective Date

01/07/2002

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005