ANNA POLAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049111651

License Status

NOT RENEWED

Business

First Name

ANNA

Last Name

POLAK

Business Name

ANNA POLAK

Original Issue Date

09/01/1995

Effective Date

09/01/1995

Expiration Date

03/31/1997

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005