DANIEL N LIEDTKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160272

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

LIEDTKE

Business Name

DANIEL N LIEDTKE

Original Issue Date

04/18/2005

Effective Date

03/09/2009

Expiration Date

03/31/2010

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/04/2010