TED J PATLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154631

License Status

NOT RENEWED

Business

First Name

TED

Middle

Last Name

PATLA

Business Name

TED J PATLA

Original Issue Date

05/28/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007