DAXA ALBAUGH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051288829

License Status

NOT RENEWED

Business

First Name

DAXA

Last Name

ALBAUGH

Business Name

DAXA ALBAUGH

Original Issue Date

05/29/2002

Effective Date

03/31/2004

Expiration Date

03/31/2006

City

BOLINGBROOK

State

Zip

60440

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/11/2006