AUSTIN DANIEL PERHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049252242

License Status

NOT RENEWED

Business

First Name

AUSTIN

Middle

DANIEL

Last Name

PERHAM

Business Name

AUSTIN DANIEL PERHAM

Original Issue Date

08/09/2017

Effective Date

08/09/2017

Expiration Date

03/31/2018

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018