MARK ANTHONY SEVILLEJA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148979

License Status

NOT RENEWED

Business

First Name

MARK

Middle

ANTHONY

Last Name

SEVILLEJA

Business Name

MARK ANTHONY SEVILLEJA

Original Issue Date

06/18/2003

Effective Date

06/18/2003

Expiration Date

03/31/2004

City

PARK CITY

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005