BETH A POLYAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051286129

License Status

NOT RENEWED

Business

First Name

BETH

Middle

Last Name

POLYAK

Business Name

BETH A POLYAK

Original Issue Date

08/13/1997

Effective Date

08/13/1997

Expiration Date

03/31/2000

City

FARMINGTON HILLS

State

Zip

48335

County

MICHIGAN

Ever Disciplined

LastModifiedDate

12/06/2005