MARTIN EDWIN LASAK - Pharmacist License in Illinois | # 051031674

MARTIN EDWIN LASAK

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051031674

License Status

INACTIVE

Business

N

First Name

MARTIN EDWIN

Last Name

LASAK

Business Name

MARTIN EDWIN LASAK

Original Issue Date

08/18/1977

Effective Date

03/26/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/04/2020