MARK D MAVETZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049085729

License Status

NOT RENEWED

Business

First Name

MARK D

Last Name

MAVETZ

Business Name

MARK D MAVETZ

Original Issue Date

12/07/1987

Effective Date

03/31/2014

Expiration Date

03/31/2015

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015

Case Number

1995010586

Action

Probation

Discipline Start Date

04/17/1996

Discipline End Date

08/13/2001

Discipline Reason

Defaulted on Illinois Student Assistance loan.