MARK LYSIUK - Pharmacist License in Illinois | # 049132419

MARK LYSIUK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132419

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005