MICHAEL R GAVLAK Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063783

License Status

CANCELLED

Business

First Name

MICHAEL R

Last Name

GAVLAK

Business Name

MICHAEL R GAVLAK

Original Issue Date

06/27/1975

Effective Date

06/27/1975

Expiration Date

01/01/1997

City

NORTH CHICAGO

State

Zip

60064

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005