MARK W ROMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049074435

License Status

NOT RENEWED

Business

First Name

MARK W

Last Name

ROMAN

Business Name

MARK W ROMAN

Original Issue Date

03/27/1981

Effective Date

03/27/1981

Expiration Date

03/31/1982

City

LISLE

State

Zip

60532

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005