EDWARD JEROME DUBAKA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119900

License Status

NOT RENEWED

Business

First Name

EDWARD

Middle

JEROME

Last Name

DUBAKA

Business Name

EDWARD JEROME DUBAKA

Original Issue Date

01/21/1998

Effective Date

01/21/1998

Expiration Date

03/31/2005

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005