ERIC BAKKEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049231789

License Status

NOT RENEWED

Business

First Name

ERIC

Last Name

BAKKEN

Business Name

ERIC BAKKEN

Original Issue Date

03/18/2015

Effective Date

03/18/2015

Expiration Date

03/31/2016

City

SHABBONA

State

Zip

60550

County

DEKALB

Ever Disciplined

LastModifiedDate

05/20/2016