KENNETH JAY DYKSTRA Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051032602

License Status

INACTIVE

Business

First Name

KENNETH JAY

Last Name

DYKSTRA

Business Name

KENNETH JAY DYKSTRA

Original Issue Date

05/14/1979

Effective Date

02/25/2022

Expiration Date

03/31/2024

City

HIGHLAND

State

Zip

46322

County

INDIANA

Ever Disciplined

LastModifiedDate

01/04/2024