RICHARD E PROKOP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135221

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

Last Name

PROKOP

Business Name

RICHARD E PROKOP

Original Issue Date

03/15/2001

Effective Date

03/15/2001

Expiration Date

03/31/2002

City

BURR RIDGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005