ANGELA SUE DYKEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162986

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

SUE

Last Name

DYKEN

Business Name

ANGELA SUE DYKEN

Original Issue Date

08/15/2005

Effective Date

08/15/2005

Expiration Date

03/31/2006

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

05/11/2006