JAIME DZAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172423

License Status

NOT RENEWED

Business

First Name

JAIME

Last Name

DZAK

Business Name

JAIME DZAK

Original Issue Date

11/09/2006

Effective Date

11/09/2006

Expiration Date

03/31/2007

City

MANHATTAN

State

Zip

60442

County

WILL

Ever Disciplined

LastModifiedDate

05/14/2007