KENNETH MICHAEL MACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049052933

License Status

NOT RENEWED

Business

First Name

KENNETH MICHAEL

Last Name

MACK

Business Name

KENNETH MICHAEL MACK

Original Issue Date

01/01/1997

Expiration Date

03/31/1999

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005