DANIEL J FOX Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161580

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

FOX

Business Name

DANIEL J FOX

Original Issue Date

06/09/2005

Effective Date

06/09/2005

Expiration Date

03/31/2006

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2006