ZACHARY MALCOLM DAHL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049257665

License Status

NOT RENEWED

Business

First Name

ZACHARY

Middle

MALCOLM

Last Name

DAHL

Business Name

ZACHARY MALCOLM DAHL

Original Issue Date

04/30/2018

Effective Date

04/12/2021

Expiration Date

05/31/2022

City

VILLA GROVE

State

Zip

61956

County

DOUGLAS

Ever Disciplined

LastModifiedDate

07/27/2022