DAWN ANN NOVAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141578

License Status

NOT RENEWED

Business

First Name

DAWN

Middle

ANN

Last Name

NOVAK

Business Name

DAWN ANN NOVAK

Original Issue Date

03/27/2002

Effective Date

03/27/2002

Expiration Date

03/31/2005

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005