DENNIS H PETTKEV Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064528

License Status

CANCELLED

Business

First Name

DENNIS H

Last Name

PETTKEV

Business Name

DENNIS H PETTKEV

Original Issue Date

11/28/1975

Effective Date

11/28/1975

Expiration Date

01/01/1997

City

LA GRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005