BRYAN B BAKKE Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061058

License Status

CANCELLED

Business

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

City

JOLIET

State

Zip

60433

County

WILL

Ever Disciplined

LastModifiedDate

07/12/2007