ERICA L PROROK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169307

License Status

NOT RENEWED

Business

First Name

ERICA

Middle

Last Name

PROROK

Business Name

ERICA L PROROK

Original Issue Date

06/14/2006

Effective Date

03/30/2011

Expiration Date

03/31/2012

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

05/07/2012