CONSTANCE ANN VAN DYKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049082322

License Status

NOT RENEWED

Business

First Name

CONSTANCE ANN

Last Name

VAN DYKE

Business Name

CONSTANCE ANN VAN DYKE

Original Issue Date

02/13/1986

Effective Date

02/13/1986

Expiration Date

03/31/1991

City

IPAVA

State

Zip

61441

County

FULTON

Ever Disciplined

LastModifiedDate

10/17/2005