KENNETH MICHAEL MACK - Pharmacist License in Illinois | # 049052933

KENNETH MICHAEL MACK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049052933

License Status

NOT RENEWED

Business

N

First Name

KENNETH MICHAEL

Last Name

MACK

Business Name

KENNETH MICHAEL MACK

Original Issue Date

01/01/1997

Expiration Date

03/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005