DAERIN LEE PARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169087

License Status

NOT RENEWED

Business

First Name

DAERIN

Middle

LEE

Last Name

PARK

Business Name

DAERIN LEE PARK

Original Issue Date

06/06/2006

Effective Date

01/10/2011

Expiration Date

03/31/2012

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/07/2012