LARRY MARK DAVID Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051028942

License Status

INACTIVE

Business

First Name

LARRY MARK

Last Name

DAVID

Business Name

LARRY MARK DAVID

Original Issue Date

01/01/1997

Effective Date

01/16/2018

Expiration Date

09/30/2020

City

SAVOY

State

Zip

61874

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/04/2020