JACK W PTAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138480

License Status

NOT RENEWED

Business

First Name

JACK

Middle

Last Name

PTAK

Business Name

JACK W PTAK

Original Issue Date

09/26/2001

Effective Date

09/26/2001

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006