JOHN M ANTOLAK Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049056958

License Status

CANCELLED

Business

First Name

JOHN M

Last Name

ANTOLAK

Business Name

JOHN M ANTOLAK

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005