MARTIN EDWIN LASAK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051031674

License Status

INACTIVE

Business

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

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/04/2020