GEORGE D BIRKENSTOCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157415

License Status

NOT RENEWED

Business

First Name

GEORGE

Middle

Last Name

BIRKENSTOCK

Business Name

GEORGE D BIRKENSTOCK

Original Issue Date

10/12/2004

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009