MALLORY D SPIVEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112350

License Status

NOT RENEWED

Business

First Name

MALLORY D

Last Name

SPIVEY

Business Name

MALLORY D SPIVEY

Original Issue Date

12/16/1995

Effective Date

12/16/1995

Expiration Date

03/31/1996

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005