LAURA E DYKSTRA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140753

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

Last Name

DYKSTRA

Business Name

LAURA E DYKSTRA

Original Issue Date

02/19/2002

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

GERMANTOWN HILLS

State

Zip

61548

County

WOODFORD

Ever Disciplined

LastModifiedDate

05/02/2008