HELEN A PTAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061454

License Status

NOT RENEWED

Business

First Name

HELEN A

Last Name

PTAK

Business Name

HELEN A PTAK

Original Issue Date

05/10/1974

Effective Date

05/10/1974

Expiration Date

03/31/1984

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005