VALERIE JEAN MALLIE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114428

License Status

NOT RENEWED

Business

First Name

VALERIE JEAN

Last Name

MALLIE

Business Name

VALERIE JEAN MALLIE

Original Issue Date

06/15/1996

Effective Date

03/12/2009

Expiration Date

03/31/2010

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/04/2010