MARK JACOB O'DONNELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158016

License Status

NOT RENEWED

Business

First Name

MARK

Middle

JACOB

Last Name

O'DONNELL

Business Name

MARK JACOB O'DONNELL

Original Issue Date

11/29/2004

Effective Date

11/29/2004

Expiration Date

03/31/2006

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2006