MARK T DOHERTY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062856

License Status

NOT RENEWED

Business

First Name

MARK T

Last Name

DOHERTY

Business Name

MARK T DOHERTY

Original Issue Date

01/31/1975

Effective Date

01/31/1975

Expiration Date

01/01/1997

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/17/2005