SAMUEL DAVID DYKSTRA - Pharmacist License in Illinois | # 049250635

SAMUEL DAVID DYKSTRA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049250635

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022