DANIEL PAGE STORM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146345

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

PAGE

Last Name

STORM

Business Name

DANIEL PAGE STORM

Original Issue Date

12/13/2002

Effective Date

12/13/2002

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005