MARK A CROSSLAND Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049085283

License Status

NOT RENEWED

Business

First Name

MARK A

Last Name

CROSSLAND

Business Name

MARK A CROSSLAND

Original Issue Date

09/25/1987

Effective Date

09/25/1987

Expiration Date

03/31/1993

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005