JONATHAN MARK EBROM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148372

License Status

NOT RENEWED

Business

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

City

OAKBROOK TERRACE

State

Zip

60181

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/06/2014