KENNETH JAY DYKSTRA Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065870

License Status

CANCELLED

Business

First Name

KENNETH JAY

Last Name

DYKSTRA

Business Name

KENNETH JAY DYKSTRA

Original Issue Date

08/06/1976

Effective Date

08/06/1976

Expiration Date

01/01/1997

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005