JUSTIN DALE DALTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177279

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

DALE

Last Name

DALTON

Business Name

JUSTIN DALE DALTON

Original Issue Date

06/22/2007

Effective Date

06/22/2007

Expiration Date

03/31/2008

City

SCHAUMBURG

State

Zip

60193

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008