DENISE D MALL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049089288

License Status

NOT RENEWED

Business

First Name

DENISE

Middle

Last Name

MALL

Business Name

DENISE D MALL

Original Issue Date

03/18/1989

Effective Date

03/18/1989

Expiration Date

03/31/1990

City

SANDWICH

State

Zip

60548

Ever Disciplined

LastModifiedDate

10/17/2005