DANIELLE L DRAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155262

License Status

NOT RENEWED

Business

First Name

DANIELLE

Middle

Last Name

DRAKE

Business Name

DANIELLE L DRAKE

Original Issue Date

06/16/2004

Effective Date

06/16/2004

Expiration Date

03/31/2006

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006