DANIEL G FIELDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140640

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

FIELDS

Business Name

DANIEL G FIELDS

Original Issue Date

02/15/2002

Effective Date

04/01/2010

Expiration Date

03/31/2011

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

05/12/2011