DANIELLE LEAH SHRYOCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165661

License Status

NOT RENEWED

Business

First Name

DANIELLE

Middle

LEAH

Last Name

SHRYOCK

Business Name

DANIELLE LEAH SHRYOCK

Original Issue Date

12/16/2005

Effective Date

06/24/2011

Expiration Date

03/31/2012

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/07/2012