MARK EDWARD ROBERTS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049078323

License Status

NOT RENEWED

Business

First Name

MARK EDWARD

Last Name

ROBERTS

Business Name

MARK EDWARD ROBERTS

Original Issue Date

05/19/1983

Effective Date

02/07/2019

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/08/2021