MARK ALAN VASA - Pharmacist License in Illinois | # 049070222

MARK ALAN VASA

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070222

License Status

CANCELLED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005