MARK ALLEN STITES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059999

License Status

NOT RENEWED

Business

First Name

MARK ALLEN

Last Name

STITES

Business Name

MARK ALLEN STITES

Original Issue Date

07/27/1973

Effective Date

07/27/1973

Expiration Date

01/01/1997

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005