ELLEN E DUBIVSKY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049078116

License Status

NOT RENEWED

Business

First Name

ELLEN E

Last Name

DUBIVSKY

Business Name

ELLEN E DUBIVSKY

Original Issue Date

04/06/1983

Effective Date

04/06/1983

Expiration Date

03/31/1986

City

DEERFIELD

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005