MARK DANIEL MERZDORF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135950

License Status

NOT RENEWED

Business

First Name

MARK

Middle

DANIEL

Last Name

MERZDORF

Business Name

MARK DANIEL MERZDORF

Original Issue Date

04/18/2001

Effective Date

04/18/2001

Expiration Date

03/31/2002

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

12/06/2005