DANIELLE DIANE BUSH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049253880

License Status

NOT RENEWED

Business

First Name

DANIELLE

Middle

DIANE

Last Name

BUSH

Business Name

DANIELLE DIANE BUSH

Original Issue Date

10/23/2017

Effective Date

02/06/2019

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

01/08/2021