Roberta Polivka
ExpiredIllinois license 049061044
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049061044
- Status
- Expired (Not Renewed)
- First issued
- February 22, 1974
- Expired
- January 1, 1997
- License holder
- Roberta Polivka
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 02/22/1974
Contact
Forest Park, IL 60130
Cook County