TINA L POLASCHEK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049095516

License Status

NOT RENEWED

Business

First Name

TINA L

Last Name

POLASCHEK

Business Name

TINA L POLASCHEK

Original Issue Date

01/15/1991

Effective Date

01/15/1991

Expiration Date

03/31/1992

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005