MARK R VAVRA - Pharmacist License in Illinois | # 049064021

MARK R VAVRA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064021

License Status

NOT RENEWED

Business

N

First Name

MARK R

Last Name

VAVRA

Business Name

MARK R VAVRA

Original Issue Date

08/08/1975

Effective Date

08/08/1975

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005