BRYAN B BAKKE - Pharmacist License in Illinois | # 049061058

BRYAN B BAKKE

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061058

License Status

CANCELLED

Business

N

First Name

BRYAN B

Last Name

BAKKE

Business Name

BRYAN B BAKKE

Original Issue Date

03/01/1974

Effective Date

03/01/1974

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

07/12/2007