PATRICK JOSEPH MEDINA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051041141

License Status

NOT RENEWED

Business

First Name

PATRICK JOSEPH

Last Name

MEDINA

Business Name

PATRICK JOSEPH MEDINA

Original Issue Date

10/22/1996

Effective Date

10/22/1996

Expiration Date

03/31/1998

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005