MARK SMITH - Pharmacist License in Illinois | # 049058539

MARK SMITH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058539

License Status

NOT RENEWED

Business

N

First Name

MARK

Last Name

SMITH

Business Name

MARK SMITH

Original Issue Date

10/14/1972

Effective Date

10/14/1972

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005