JILL E MALCOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109985

License Status

NOT RENEWED

Business

First Name

JILL E

Last Name

MALCOM

Business Name

JILL E MALCOM

Original Issue Date

03/30/1995

Effective Date

03/30/1995

Expiration Date

03/31/2003

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/20/2005