MARK ROBERT GOLDSMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058656

License Status

NOT RENEWED

Business

First Name

MARK ROBERT

Last Name

GOLDSMITH

Business Name

MARK ROBERT GOLDSMITH

Original Issue Date

11/04/1972

Effective Date

11/04/1972

Expiration Date

03/31/1984

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005