MARK ALLEN PERCIFIELD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145452

License Status

NOT RENEWED

Business

First Name

MARK

Middle

ALLEN

Last Name

PERCIFIELD

Business Name

MARK ALLEN PERCIFIELD

Original Issue Date

10/22/2002

Effective Date

10/22/2002

Expiration Date

03/31/2006

City

PINELLAS PARK

State

Zip

33782

County

FLORIDA

Ever Disciplined

LastModifiedDate

05/11/2006