TEHRAN K MALONE - Pharmacist License in Illinois | # 049114883

TEHRAN K MALONE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114883

License Status

NOT RENEWED

Business

N

First Name

TEHRAN K

Last Name

MALONE

Business Name

TEHRAN K MALONE

Original Issue Date

08/06/1996

Effective Date

08/06/1996

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005