MARK J LIESEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067018

License Status

NOT RENEWED

Business

First Name

MARK J

Last Name

LIESEN

Business Name

MARK J LIESEN

Original Issue Date

04/01/1977

Effective Date

04/01/1977

Expiration Date

01/01/1997

City

BOLINGBROOK

State

Zip

60439

County

WILL

Ever Disciplined

LastModifiedDate

10/17/2005