MARK RYAN CAPULONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192013

License Status

NOT RENEWED

Business

First Name

MARK

Middle

RYAN

Last Name

CAPULONG

Business Name

MARK RYAN CAPULONG

Original Issue Date

05/29/2009

Effective Date

03/03/2010

Expiration Date

03/31/2011

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/12/2011