DANIELLE LENN BRUNWORTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156613

License Status

NOT RENEWED

Business

First Name

DANIELLE

Middle

LENN

Last Name

BRUNWORTH

Business Name

DANIELLE LENN BRUNWORTH

Original Issue Date

08/13/2004

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

DEWEY

State

Zip

61840

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/06/2009