BRIAN D POLK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049231992

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

POLK

Prefix

Business Name

BRIAN D POLK

Original Issue Date

03/28/2015

Effective Date

03/28/2015

Expiration Date

03/31/2016

City

MELROSE PARK

State

Zip

60164

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016