DANIEL R LILLY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159794

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

LILLY

Business Name

DANIEL R LILLY

Original Issue Date

03/31/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/14/2007