PAUL D PROKOP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051036706

License Status

NOT RENEWED

Business

First Name

PAUL D

Last Name

PROKOP

Business Name

PAUL D PROKOP

Original Issue Date

09/25/1987

Effective Date

09/25/1987

Expiration Date

03/31/1992

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005