DAWN L FOKKEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051040598

License Status

NOT RENEWED

Business

First Name

DAWN L

Last Name

FOKKEN

Business Name

DAWN L FOKKEN

Original Issue Date

10/25/1995

Effective Date

03/31/2004

Expiration Date

03/31/2006

City

CHEROKEE

State

Zip

51012

County

IOWA

Ever Disciplined

LastModifiedDate

05/11/2006