DANIEL FRANCIS BOURBON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153064

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

FRANCIS

Last Name

BOURBON

Business Name

DANIEL FRANCIS BOURBON

Original Issue Date

01/29/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

DEERFIELD

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

05/14/2007