MARY THERESE PROKOP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049224630

License Status

NOT RENEWED

Business

First Name

MARY

Middle

THERESE

Last Name

PROKOP

Business Name

MARY THERESE PROKOP

Original Issue Date

04/17/2014

Effective Date

02/11/2015

Expiration Date

03/31/2016

City

CLARENDON HILLS

State

Zip

60514

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/20/2016