MARK F YASTRAB Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199094

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

YASTRAB

Business Name

MARK F YASTRAB

Original Issue Date

06/23/2010

Effective Date

02/04/2014

Expiration Date

03/31/2015

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2015