MARK A RILEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113739

License Status

NOT RENEWED

Business

First Name

MARK A

Last Name

RILEY

Business Name

MARK A RILEY

Original Issue Date

03/21/1996

Effective Date

03/21/2017

Expiration Date

03/31/2018

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/19/2018