MARK R CAPATI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145430

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

CAPATI

Business Name

MARK R CAPATI

Original Issue Date

10/22/2002

Effective Date

10/22/2002

Expiration Date

03/31/2003

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/20/2005