ALEXANDER A ANTOLAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049235667

License Status

NOT RENEWED

Business

First Name

ALEXANDER

Middle

Last Name

ANTOLAK

Prefix

Business Name

ALEXANDER A ANTOLAK

Original Issue Date

08/20/2015

Effective Date

03/02/2021

Expiration Date

05/31/2022

City

SHERWOOD

State

Zip

97140

Ever Disciplined

LastModifiedDate

07/27/2022