MICHAEL MASCENIC Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057285

License Status

NOT RENEWED

Business

First Name

MICHAEL

Last Name

MASCENIC

Business Name

MICHAEL MASCENIC

Original Issue Date

01/17/1972

Effective Date

02/26/2020

Expiration Date

03/31/2021

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2021