JUSTIN MARK SIMON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117570

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

MARK

Last Name

SIMON

Business Name

JUSTIN MARK SIMON

Original Issue Date

05/14/1997

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009