DANIEL SHANAHAN MORAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049249068

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

SHANAHAN

Last Name

MORAN

Business Name

DANIEL SHANAHAN MORAN

Original Issue Date

03/14/2017

Effective Date

03/15/2018

Expiration Date

03/31/2019

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/15/2019