PETER J MALLON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151969

License Status

NOT RENEWED

Business

First Name

PETER

Middle

Last Name

MALLON

Business Name

PETER J MALLON

Original Issue Date

10/30/2003

Effective Date

01/05/2011

Expiration Date

03/31/2012

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

05/07/2012