MARK T DOHERTY Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030452

License Status

INACTIVE

Business

First Name

MARK T

Last Name

DOHERTY

Business Name

MARK T DOHERTY

Original Issue Date

07/25/1975

Effective Date

03/03/2014

Expiration Date

03/31/2016

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

01/28/2016