MARK NORMAN GRAVDAL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030001

License Status

NOT RENEWED

Business

First Name

MARK NORMAN

Last Name

GRAVDAL

Business Name

MARK NORMAN GRAVDAL

Original Issue Date

08/02/1974

Effective Date

02/23/2018

Expiration Date

09/30/2020

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Ever Disciplined

LastModifiedDate

01/14/2021