DALE A DRIZD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129762

License Status

NOT RENEWED

Business

First Name

DALE

Middle

Last Name

DRIZD

Business Name

DALE A DRIZD

Original Issue Date

03/06/2000

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

05/06/2009