MARK DAVID MALIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068919

License Status

NOT RENEWED

Business

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

City

ROLLING MEADOWS

State

Zip

60008

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005