MARK J LIESEN - Pharmacist License in Illinois | # 049067018

MARK J LIESEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067018

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005