DAN S AUTH Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193746

License Status

INACTIVE

Business

First Name

DAN

Middle

Last Name

AUTH

Business Name

DAN S AUTH

Original Issue Date

08/20/2009

Effective Date

02/01/2011

Expiration Date

03/31/2012

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/12/2012