MARK MISKIMEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060174

License Status

NOT RENEWED

Business

First Name

MARK

Last Name

MISKIMEN

Business Name

MARK MISKIMEN

Original Issue Date

08/31/1973

Effective Date

08/31/1973

Expiration Date

01/01/1997

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005