DANIEL PATRICK FANG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152566

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

PATRICK

Last Name

FANG

Business Name

DANIEL PATRICK FANG

Original Issue Date

12/17/2003

Effective Date

12/17/2003

Expiration Date

03/31/2005

City

ADDISON

State

Zip

60101

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005