MARK D MITZNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051025464

License Status

NOT RENEWED

Business

First Name

MARK D

Last Name

MITZNER

Business Name

MARK D MITZNER

Original Issue Date

01/01/1997

Effective Date

01/31/2018

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

01/14/2021