JOAN B PTAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131835

License Status

NOT RENEWED

Business

First Name

JOAN

Middle

Last Name

PTAK

Business Name

JOAN B PTAK

Original Issue Date

07/27/2000

Effective Date

03/18/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010