MARK A CEPERLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051040937

License Status

NOT RENEWED

Business

First Name

MARK A

Last Name

CEPERLEY

Business Name

MARK A CEPERLEY

Original Issue Date

08/12/1996

Effective Date

08/12/1996

Expiration Date

03/31/1998

City

BLUE SPRINGS

State

Zip

64015

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/17/2005