DIPA A DAVE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126421

License Status

NOT RENEWED

Business

First Name

DIPA

Middle

Last Name

DAVE

Business Name

DIPA A DAVE

Original Issue Date

06/21/1999

Effective Date

06/21/1999

Expiration Date

03/31/2005

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005