JOSEPH F PETRICEK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051036729

License Status

INACTIVE

Business

First Name

JOSEPH F

Last Name

PETRICEK

Business Name

JOSEPH F PETRICEK

Original Issue Date

08/23/1987

Effective Date

08/23/1987

Expiration Date

03/31/2000

City

INDIANAPOLIS

State

Zip

46254

County

INDIANA

Ever Disciplined

LastModifiedDate

12/06/2005