JOHN M ANTOLAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029799

License Status

NOT RENEWED

Business

First Name

JOHN M

Last Name

ANTOLAK

Business Name

JOHN M ANTOLAK

Original Issue Date

12/10/1973

Effective Date

12/10/1973

Expiration Date

01/31/1982

City

SPRING VALLEY

State

Zip

61362

County

BUREAU

Ever Disciplined

LastModifiedDate

10/17/2005