DANIELLE ELIZABETH POLEON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158637

License Status

NOT RENEWED

Business

First Name

DANIELLE

Middle

ELIZABETH

Last Name

POLEON

Business Name

DANIELLE ELIZABETH POLEON

Original Issue Date

12/28/2004

Effective Date

12/28/2004

Expiration Date

03/31/2006

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

05/11/2006