MARK ALAN VASA Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070222

License Status

CANCELLED

Business

First Name

MARK ALAN

Last Name

VASA

Business Name

MARK ALAN VASA

Original Issue Date

10/13/1978

Effective Date

10/13/1978

Expiration Date

03/31/1984

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005