ELENA POVILAITIS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051023355

License Status

INACTIVE

Business

First Name

ELENA

Last Name

POVILAITIS

Business Name

ELENA POVILAITIS

Original Issue Date

01/01/1997

Expiration Date

03/31/1988

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005