STANLEY LAMAR MALONE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092980

License Status

NOT RENEWED

Business

First Name

STANLEY

Middle

LAMAR

Last Name

MALONE

Business Name

STANLEY LAMAR MALONE

Original Issue Date

05/02/1990

Effective Date

05/02/1990

Expiration Date

03/31/1992

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/17/2005