MARK ROBERT YOUNGBERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143659

License Status

NOT RENEWED

Business

First Name

MARK

Middle

ROBERT

Last Name

YOUNGBERG

Business Name

MARK ROBERT YOUNGBERG

Original Issue Date

07/15/2002

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/02/2008