DANIEL A DRAHEIM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049190641

License Status

NOT RENEWED

Business

First Name

DANIEL A

Last Name

DRAHEIM

Business Name

DANIEL A DRAHEIM

Original Issue Date

04/01/2009

Effective Date

04/01/2009

Expiration Date

03/31/2010

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/04/2010