MARK A CORNWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150517

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

CORNWELL

Business Name

MARK A CORNWELL

Original Issue Date

09/05/2003

Effective Date

09/05/2003

Expiration Date

03/31/2004

City

STEGER

State

Zip

60475

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005