AMY L DZIERBA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123031

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

DZIERBA

Business Name

AMY L DZIERBA

Original Issue Date

10/01/1998

Effective Date

10/01/1998

Expiration Date

03/31/2000

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005