PHILIP L POLCHOW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049074784

License Status

NOT RENEWED

Business

First Name

PHILIP L

Last Name

POLCHOW

Business Name

PHILIP L POLCHOW

Original Issue Date

06/24/1981

Effective Date

06/24/1981

Expiration Date

03/31/1982

City

BETHALTO

State

Zip

62010

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005