MARK A ROMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096715

License Status

NOT RENEWED

Business

First Name

MARK A

Last Name

ROMAN

Business Name

MARK A ROMAN

Original Issue Date

04/30/1991

Effective Date

04/30/1991

Expiration Date

03/31/1999

City

WILMINGTON

State

Zip

60481

County

WILL

Ever Disciplined

LastModifiedDate

10/17/2005