ALES PETLACH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164997

License Status

NOT RENEWED

Business

First Name

ALES

Last Name

PETLACH

Business Name

ALES PETLACH

Original Issue Date

11/15/2005

Effective Date

03/30/2012

Expiration Date

03/31/2013

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013