PATRICK W SLUPIK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057424

License Status

NOT RENEWED

Business

First Name

PATRICK W

Last Name

SLUPIK

Business Name

PATRICK W SLUPIK

Original Issue Date

02/18/1972

Effective Date

02/18/1972

Expiration Date

01/01/1997

City

RIVER GROVE

State

Zip

60171

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005