MARK J ELIZALDE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154832

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

ELIZALDE

Business Name

MARK J ELIZALDE

Original Issue Date

06/08/2004

Effective Date

02/24/2010

Expiration Date

03/31/2011

City

BOILING SPRINGS

State

Zip

29316

Ever Disciplined

LastModifiedDate

05/12/2011