MARK ANTHONY RALPH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049078462

License Status

NOT RENEWED

Business

First Name

MARK ANTHONY

Last Name

RALPH

Business Name

MARK ANTHONY RALPH

Original Issue Date

06/16/1983

Effective Date

06/16/1983

Expiration Date

03/31/1984

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/17/2005