MARK S MATUSIK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051040326

License Status

NOT RENEWED

Business

First Name

MARK S

Last Name

MATUSIK

Business Name

MARK S MATUSIK

Original Issue Date

08/17/1995

Effective Date

04/02/2020

Expiration Date

07/31/2022

City

LAKE VILLA

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

10/14/2022