MICHAEL GANLAM MARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132480

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

GANLAM

Last Name

MARK

Business Name

MICHAEL GANLAM MARK

Original Issue Date

09/01/2000

Effective Date

09/01/2000

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005