DAKOTA TIM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138508

License Status

NOT RENEWED

Business

First Name

DAKOTA

Last Name

TIM

Business Name

DAKOTA TIM

Original Issue Date

09/28/2001

Effective Date

09/28/2001

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005