LAURENCE W PALKA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063028

License Status

NOT RENEWED

Business

First Name

LAURENCE W

Last Name

PALKA

Business Name

LAURENCE W PALKA

Original Issue Date

02/28/1975

Effective Date

02/28/1975

Expiration Date

01/01/1997

City

COUNTRYSIDE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005