JOSHUA MARK WORM - Pharmacist License in Illinois | # 049248660

JOSHUA MARK WORM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049248660

License Status

NOT RENEWED

Business

N

First Name

JOSHUA

Middle

MARK

Last Name

WORM

Business Name

JOSHUA MARK WORM

Original Issue Date

02/24/2017

Effective Date

03/05/2018

Expiration Date

03/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

07/15/2019