PATRICIA LORENE FEDAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146933

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

LORENE

Last Name

FEDAK

Business Name

PATRICIA LORENE FEDAK

Original Issue Date

02/05/2003

Effective Date

02/05/2003

Expiration Date

03/31/2006

City

PARK FOREST

State

Zip

60466

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006