CARRIE LYNN MALL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117457

License Status

NOT RENEWED

Business

First Name

CARRIE

Middle

LYNN

Last Name

MALL

Business Name

CARRIE LYNN MALL

Original Issue Date

05/01/1997

Effective Date

05/01/1997

Expiration Date

03/31/2000

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/21/2005