MICHELLE L ANTOLAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165528

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

ANTOLAK

Business Name

MICHELLE L ANTOLAK

Original Issue Date

12/12/2005

Effective Date

03/14/2011

Expiration Date

03/31/2012

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/07/2012