MARK MAYFIELD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067784

License Status

NOT RENEWED

Business

First Name

MARK

Last Name

MAYFIELD

Business Name

MARK MAYFIELD

Original Issue Date

07/15/1977

Effective Date

07/15/1977

Expiration Date

01/01/1997

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005