MICHAEL MARBACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058392

License Status

NOT RENEWED

Business

First Name

MICHAEL

Last Name

MARBACK

Business Name

MICHAEL MARBACK

Original Issue Date

09/06/1972

Effective Date

09/06/1972

Expiration Date

01/01/1997

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005