JENNIFER SUZANNE MALLICOAT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122774

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

SUZANNE

Last Name

MALLICOAT

Business Name

JENNIFER SUZANNE MALLICOAT

Original Issue Date

09/04/1998

Effective Date

09/04/1998

Expiration Date

03/31/1999

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005