DANIEL RUSSELL BARDIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150315

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

RUSSELL

Last Name

BARDIN

Business Name

DANIEL RUSSELL BARDIN

Original Issue Date

08/25/2003

Effective Date

08/25/2003

Expiration Date

03/31/2006

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/11/2006