MARK ALLEN BULDAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134260

License Status

NOT RENEWED

Business

First Name

MARK

Middle

ALLEN

Last Name

BULDAK

Business Name

MARK ALLEN BULDAK

Original Issue Date

01/02/2001

Effective Date

01/02/2001

Expiration Date

03/31/2002

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005