MARK ALLEN MUNGER Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051034841

License Status

INACTIVE

Business

First Name

MARK ALLEN

Last Name

MUNGER

Business Name

MARK ALLEN MUNGER

Original Issue Date

07/12/1983

Effective Date

07/12/1983

Expiration Date

03/31/1988

City

PORTLAND

State

Zip

97230

County

OREGON

Ever Disciplined

LastModifiedDate

10/17/2005