EMILY PTAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128402

License Status

NOT RENEWED

Business

First Name

EMILY

Last Name

PTAK

Business Name

EMILY PTAK

Original Issue Date

11/29/1999

Effective Date

11/29/1999

Expiration Date

03/31/2003

City

ELMWOOD PARK

State

Zip

60707

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005