MARK A DOUGLASS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051286155

License Status

INACTIVE

Business

First Name

MARK

Middle

Last Name

DOUGLASS

Business Name

MARK A DOUGLASS

Original Issue Date

08/13/1997

Effective Date

08/13/1997

Expiration Date

03/31/2000

City

BERKLEY

State

Zip

48072

County

MICHIGAN

Ever Disciplined

LastModifiedDate

12/06/2005