LOU ANN POLK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096705

License Status

NOT RENEWED

Business

First Name

LOU ANN

Last Name

POLK

Business Name

LOU ANN POLK

Original Issue Date

04/26/1991

Effective Date

04/26/1991

Expiration Date

03/31/1999

City

MOUNT PULASKI

State

Zip

62548

County

LOGAN

Ever Disciplined

LastModifiedDate

10/17/2005