DWIGHT V MCKISSACK JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174586

License Status

NOT RENEWED

Business

First Name

DWIGHT

Middle

Last Name

MCKISSACK

Suffix

Business Name

DWIGHT V MCKISSACK JR

Original Issue Date

03/02/2007

Effective Date

03/02/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008