JEFFREY CYRIL POTKIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057534

License Status

NOT RENEWED

Business

First Name

JEFFREY CYRIL

Last Name

POTKIN

Business Name

JEFFREY CYRIL POTKIN

Original Issue Date

03/16/1972

Effective Date

03/16/1972

Expiration Date

01/01/1997

City

LINCOLNWOOD

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005