REATHA P POLK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051027998

License Status

NOT RENEWED

Business

First Name

REATHA P

Last Name

POLK

Business Name

REATHA P POLK

Original Issue Date

01/01/1997

Effective Date

03/16/2010

Expiration Date

03/31/2012

City

MITCHELLVILLE

State

Zip

20721

County

MARYLAND

Ever Disciplined

LastModifiedDate

05/07/2012