MARK M LUPA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157419

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

LUPA

Business Name

MARK M LUPA

Original Issue Date

10/12/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007