MICHAEL R POLK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067068

License Status

NOT RENEWED

Business

First Name

MICHAEL R

Last Name

POLK

Business Name

MICHAEL R POLK

Original Issue Date

04/08/1977

Effective Date

04/08/1977

Expiration Date

01/01/1997

City

ELMWOOD PARK

State

Zip

60635

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005