MARK A WAYNE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049080502

License Status

NOT RENEWED

Business

First Name

MARK A

Last Name

WAYNE

Business Name

MARK A WAYNE

Original Issue Date

11/30/1984

Effective Date

11/30/1984

Expiration Date

03/31/1986

City

ORLAND PARK

State

Zip

60462

Ever Disciplined

LastModifiedDate

10/17/2005