MARK ALAN HOSTICKA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065721

License Status

NOT RENEWED

Business

First Name

MARK ALAN

Last Name

HOSTICKA

Business Name

MARK ALAN HOSTICKA

Original Issue Date

07/09/1976

Effective Date

07/09/1976

Expiration Date

01/01/1997

City

OAK LAWN

State

Zip

60453

County

VERMILION

Ever Disciplined

LastModifiedDate

10/17/2005