KEVIN T GRALAK OD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101058

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

Last Name

GRALAK

Suffix

Business Name

KEVIN T GRALAK OD

Original Issue Date

08/21/1992

Effective Date

08/21/1992

Expiration Date

03/31/2001

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/21/2005