RICHARD J BAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051289825

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

Last Name

BAK

Business Name

RICHARD J BAK

Original Issue Date

01/29/2004

Effective Date

03/19/2018

Expiration Date

09/30/2020

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

01/14/2021