MARTIN P VACLAVEK Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071307

License Status

CANCELLED

Business

First Name

MARTIN P

Last Name

VACLAVEK

Business Name

MARTIN P VACLAVEK

Original Issue Date

06/08/1979

Effective Date

06/08/1979

Expiration Date

03/31/1984

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005