DUSTIN ADAM DECKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160546

License Status

NOT RENEWED

Business

First Name

DUSTIN

Middle

ADAM

Last Name

DECKER

Business Name

DUSTIN ADAM DECKER

Original Issue Date

04/22/2005

Effective Date

04/22/2005

Expiration Date

03/31/2006

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2006