WILLIAM ANTONIO MARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051036415

License Status

NOT RENEWED

Business

First Name

WILLIAM ANTONIO

Last Name

MARK

Business Name

WILLIAM ANTONIO MARK

Original Issue Date

10/20/1986

Effective Date

10/20/1986

Expiration Date

03/31/1992

City

LAFAYETTE

State

Zip

47905

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005