PATRICIA ELLEN SULAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200390

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

ELLEN

Last Name

SULAK

Business Name

PATRICIA ELLEN SULAK

Original Issue Date

09/07/2010

Effective Date

03/10/2011

Expiration Date

03/31/2012

City

LAKE VILLA

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

05/07/2012