DONALD ROBERT RADTKE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157430

License Status

INACTIVE

Business

First Name

DONALD

Middle

ROBERT

Last Name

RADTKE

Business Name

DONALD ROBERT RADTKE

Original Issue Date

10/13/2004

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

PALOS PARK

State

Zip

60464

County

COOK

Ever Disciplined

LastModifiedDate

01/06/2009