MARK VLASTELICA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206451

License Status

NOT RENEWED

Business

First Name

MARK

Last Name

VLASTELICA

Prefix

Business Name

MARK VLASTELICA

Original Issue Date

09/04/2011

Effective Date

02/20/2018

Expiration Date

03/31/2019

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019