KENNETH E DZIKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165364

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

Last Name

DZIKE

Business Name

KENNETH E DZIKE

Original Issue Date

12/05/2005

Effective Date

12/05/2005

Expiration Date

03/31/2006

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2006