MARK ANDREW SORENSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069710

License Status

NOT RENEWED

Business

First Name

MARK ANDREW

Last Name

SORENSEN

Business Name

MARK ANDREW SORENSEN

Original Issue Date

07/07/1978

Effective Date

07/07/1978

Expiration Date

03/31/1984

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005