NADINE SUZANNE ANTOLIK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127721

License Status

NOT RENEWED

Business

First Name

NADINE

Middle

SUZANNE

Last Name

ANTOLIK

Business Name

NADINE SUZANNE ANTOLIK

Original Issue Date

09/29/1999

Effective Date

09/29/1999

Expiration Date

03/31/2001

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

10/21/2005