MIRANDA DALIP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255697

License Status

NOT RENEWED

Business

First Name

MIRANDA

Last Name

DALIP

Business Name

MIRANDA DALIP

Original Issue Date

01/23/2018

Effective Date

01/23/2018

Expiration Date

03/31/2019

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/15/2019