VINCENT CHASE MALKOVICH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143692

License Status

NOT RENEWED

Business

First Name

VINCENT

Middle

CHASE

Last Name

MALKOVICH

Business Name

VINCENT CHASE MALKOVICH

Original Issue Date

07/16/2002

Effective Date

07/16/2002

Expiration Date

03/31/2004

City

BENTON

State

Zip

62812

County

FRANKLIN

Ever Disciplined

LastModifiedDate

10/20/2005