MARK DAVID MALIS - Pharmacist License in Illinois | # 049068919

MARK DAVID MALIS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068919

License Status

NOT RENEWED

Business

N

First Name

MARK DAVID

Last Name

MALIS

Business Name

MARK DAVID MALIS

Original Issue Date

03/03/1978

Effective Date

03/03/1978

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005