MALLORY L PLVEINNIK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142465

License Status

NOT RENEWED

Business

First Name

MALLORY

Middle

Last Name

PLVEINNIK

Business Name

MALLORY L PLVEINNIK

Original Issue Date

05/16/2002

Effective Date

05/16/2002

Expiration Date

03/31/2003

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005