TINA M PTAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049232662

License Status

NOT RENEWED

Business

First Name

TINA

Middle

Last Name

PTAK

Business Name

TINA M PTAK

Original Issue Date

04/27/2015

Effective Date

03/10/2016

Expiration Date

03/31/2017

City

CHICAGO

State

Zip

60638

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017