THEODORE C PATKA Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051025374

License Status

INACTIVE

Business

First Name

THEODORE C

Last Name

PATKA

Business Name

THEODORE C PATKA

Original Issue Date

01/01/1997

Expiration Date

03/31/2004

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

12/06/2005