MARK A HACKWORTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058459

License Status

NOT RENEWED

Business

First Name

MARK A

Last Name

HACKWORTH

Business Name

MARK A HACKWORTH

Original Issue Date

09/30/1972

Effective Date

09/30/1972

Expiration Date

01/01/1997

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005