JOSHUA MARK WORM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049248660

License Status

NOT RENEWED

Business

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

City

ROMEOVILLE

State

Zip

60446

County

WILL

Ever Disciplined

LastModifiedDate

07/15/2019