MARK EDWARD HUMPHREY - Pharmacist License in Illinois | # 051030021

MARK EDWARD HUMPHREY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030021

License Status

NOT RENEWED

Business

N

First Name

MARK

Middle

EDWARD

Last Name

HUMPHREY

Business Name

MARK EDWARD HUMPHREY

Original Issue Date

08/02/1974

Effective Date

02/22/2016

Expiration Date

03/31/2018

State

IL

Ever Disciplined

Y

LastModifiedDate

06/19/2018