DANIEL J ANTOLAK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051031505

License Status

INACTIVE

Business

First Name

DANIEL J

Last Name

ANTOLAK

Business Name

DANIEL J ANTOLAK

Original Issue Date

08/18/1977

Effective Date

08/18/1977

Expiration Date

03/31/1992

City

CARMEL

State

Zip

46033

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005