LESLIE A DZIKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125056

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

Last Name

DZIKE

Business Name

LESLIE A DZIKE

Original Issue Date

03/19/1999

Effective Date

03/19/1999

Expiration Date

03/31/2001

City

MCHENRY

State

Zip

60050

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/21/2005