JONATHAN MARK EBROM - Pharmacist License in Illinois | # 049148372

JONATHAN MARK EBROM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148372

License Status

NOT RENEWED

Business

N

First Name

JONATHAN

Middle

MARK

Last Name

EBROM

Business Name

JONATHAN MARK EBROM

Original Issue Date

04/29/2003

Effective Date

01/31/2013

Expiration Date

03/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2014