STEPHANIE IRENE DANIELSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146734

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

IRENE

Last Name

DANIELSON

Business Name

STEPHANIE IRENE DANIELSON

Original Issue Date

01/14/2003

Effective Date

01/14/2003

Expiration Date

03/31/2005

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

10/20/2005