MARK ROBERT DENISON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140576

License Status

NOT RENEWED

Business

First Name

MARK

Middle

ROBERT

Last Name

DENISON

Business Name

MARK ROBERT DENISON

Original Issue Date

02/06/2002

Effective Date

02/06/2002

Expiration Date

03/31/2003

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/20/2005