SAMUEL DAVID DYKSTRA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049250635

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

DAVID

Last Name

DYKSTRA

Business Name

SAMUEL DAVID DYKSTRA

Original Issue Date

05/16/2017

Effective Date

01/25/2021

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022