JOSEPH H POLAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105238

License Status

NOT RENEWED

Business

First Name

JOSEPH H

Last Name

POLAK

Business Name

JOSEPH H POLAK

Original Issue Date

11/16/1993

Effective Date

11/16/1993

Expiration Date

03/31/1996

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005