MARK A BLICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049103147

License Status

NOT RENEWED

Business

First Name

MARK A

Last Name

BLICK

Business Name

MARK A BLICK

Original Issue Date

04/21/1993

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

CORDOVA

State

Zip

61242

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/14/2007