MARK R VAVRA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064021

License Status

NOT RENEWED

Business

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

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005