DAWN L FOKKEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100248

License Status

NOT RENEWED

Business

First Name

DAWN L

Last Name

FOKKEN

Business Name

DAWN L FOKKEN

Original Issue Date

06/02/1992

Effective Date

06/02/1992

Expiration Date

03/31/1993

City

MARENGO

State

Zip

60152

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/17/2005