DAN R YOUNGBERG Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030145

License Status

INACTIVE

Business

First Name

DAN R

Last Name

YOUNGBERG

Business Name

DAN R YOUNGBERG

Original Issue Date

08/02/1974

Effective Date

02/10/2014

Expiration Date

03/31/2016

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/28/2016