ANNE N POLACEK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153674

License Status

NOT RENEWED

Business

First Name

ANNE

Middle

Last Name

POLACEK

Business Name

ANNE N POLACEK

Original Issue Date

03/15/2004

Effective Date

03/15/2004

Expiration Date

03/31/2005

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005