DANIEL G DISPENSA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203519

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

DISPENSA

Prefix

Business Name

DANIEL G DISPENSA

Original Issue Date

04/05/2011

Effective Date

04/05/2011

Expiration Date

03/31/2012

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/06/2014