MARC W MONGAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100055

License Status

NOT RENEWED

Business

First Name

MARC W

Last Name

MONGAN

Business Name

MARC W MONGAN

Original Issue Date

05/07/1992

Effective Date

05/07/1992

Expiration Date

03/31/1994

City

OREGON

State

Zip

61061

County

OGLE

Ever Disciplined

LastModifiedDate

10/17/2005