MARK E HUMPHREY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049056217

License Status

NOT RENEWED

Business

First Name

MARK E

Last Name

HUMPHREY

Business Name

MARK E HUMPHREY

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/17/2005