JERRY J POLACEK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051022895

License Status

INACTIVE

Business

First Name

JERRY J

Last Name

POLACEK

Business Name

JERRY J POLACEK

Original Issue Date

01/01/1997

Expiration Date

03/31/1988

City

CICERO

State

Zip

60650

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005