DANIEL J ANTOLAK Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058315

License Status

CANCELLED

Business

First Name

DANIEL J

Last Name

ANTOLAK

Business Name

DANIEL J ANTOLAK

Original Issue Date

09/06/1972

Effective Date

09/06/1972

Expiration Date

01/01/1997

City

NORRIDGE

State

Zip

60656

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005