DANIELLE JEAN DORLAC Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049249917

License Status

NOT RENEWED

Business

First Name

DANIELLE

Middle

JEAN

Last Name

DORLAC

Business Name

DANIELLE JEAN DORLAC

Original Issue Date

04/14/2017

Effective Date

04/02/2018

Expiration Date

03/31/2019

City

DUPO

State

Zip

62239

County

ADAMS

Ever Disciplined

LastModifiedDate

07/15/2019