DANIEL J ANTOLAK - Pharmacist License in Indiana | # 051031505

DANIEL J ANTOLAK

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051031505

License Status

INACTIVE

Business

N

First Name

DANIEL J

Last Name

ANTOLAK

Business Name

DANIEL J ANTOLAK

Original Issue Date

08/18/1977

Effective Date

08/18/1977

Expiration Date

03/31/1992

State

IN

Ever Disciplined

N

LastModifiedDate

10/17/2005