MAE E MALONE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112321

License Status

NOT RENEWED

Business

First Name

MAE E

Last Name

MALONE

Business Name

MAE E MALONE

Original Issue Date

11/07/1995

Effective Date

11/07/1995

Expiration Date

03/31/2004

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/20/2005