AMY C DYKSTRA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157818

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

DYKSTRA

Business Name

AMY C DYKSTRA

Original Issue Date

11/12/2004

Effective Date

11/12/2004

Expiration Date

03/31/2005

City

THOMSON

State

Zip

61285

County

CARROLL

Ever Disciplined

LastModifiedDate

10/20/2005