Pharmacist
PHARMACY TECHNICIAN
049157439
NOT RENEWED
N
MIKE
ROSS
JUSTMAN
MIKE ROSS JUSTMAN
10/13/2004
01/10/2008
03/31/2009
MUNDELEIN
IL
60060
LAKE
Y
01/12/2012
2011007635
Refuse To Renew
01/12/2012
after he attempted to forge a prescription for a controlled substance and plead guilty to attempted possession.