STACEY M MALLES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094527

License Status

NOT RENEWED

Business

First Name

STACEY M

Last Name

MALLES

Business Name

STACEY M MALLES

Original Issue Date

10/06/1990

Effective Date

10/06/1990

Expiration Date

03/31/1991

City

ITASCA

State

Zip

60143

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005