SAMUEL R PAVELKA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168224

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

Last Name

PAVELKA

Business Name

SAMUEL R PAVELKA

Original Issue Date

04/27/2006

Effective Date

04/27/2006

Expiration Date

03/31/2007

City

CHICAGO

State

Zip

60638

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007