DARRYL VALDER AUGUSTE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154437

License Status

NOT RENEWED

Business

First Name

DARRYL

Middle

VALDER

Last Name

AUGUSTE

Business Name

DARRYL VALDER AUGUSTE

Original Issue Date

05/20/2004

Effective Date

05/20/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005