PHILIP M TATAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138475

License Status

NOT RENEWED

Business

First Name

PHILIP

Middle

Last Name

TATAK

Business Name

PHILIP M TATAK

Original Issue Date

09/26/2001

Effective Date

09/26/2001

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005