DANIELLE S QUALLS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049210683

License Status

INACTIVE

Business

First Name

DANIELLE

Middle

Last Name

QUALLS

Business Name

DANIELLE S QUALLS

Original Issue Date

04/30/2012

Effective Date

12/15/2014

Expiration Date

03/31/2015

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/06/2015