JERALYN M POLACEK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149785

License Status

NOT RENEWED

Business

First Name

JERALYN

Middle

Last Name

POLACEK

Business Name

JERALYN M POLACEK

Original Issue Date

08/13/2003

Effective Date

03/29/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60638

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012