DANIELLE NICHOLE GORDON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168596

License Status

NOT RENEWED

Business

First Name

DANIELLE

Middle

NICHOLE

Last Name

GORDON

Business Name

DANIELLE NICHOLE GORDON

Original Issue Date

05/11/2006

Effective Date

03/30/2009

Expiration Date

03/31/2010

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

05/04/2010