MARK LYSIUK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132419

License Status

NOT RENEWED

Business

First Name

MARK

Last Name

LYSIUK

Business Name

MARK LYSIUK

Original Issue Date

08/30/2000

Effective Date

08/30/2000

Expiration Date

03/31/2005

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005