DANIEL J MIOTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030165

License Status

NOT RENEWED

Business

First Name

DANIEL J

Last Name

MIOTA

Business Name

DANIEL J MIOTA

Original Issue Date

08/13/1974

Effective Date

08/13/1974

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005