THEODORE C MALLY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108787

License Status

NOT RENEWED

Business

First Name

THEODORE C

Last Name

MALLY

Business Name

THEODORE C MALLY

Original Issue Date

11/09/1994

Effective Date

11/09/1994

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006