DANIELLE M FRY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049214304

License Status

NOT RENEWED

Business

First Name

DANIELLE

Middle

Last Name

FRY

Business Name

DANIELLE M FRY

Original Issue Date

10/28/2012

Effective Date

02/19/2014

Expiration Date

03/31/2015

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2015