MALLORY ANN BUTLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153837

License Status

NOT RENEWED

Business

First Name

MALLORY

Middle

ANN

Last Name

BUTLER

Business Name

MALLORY ANN BUTLER

Original Issue Date

03/22/2004

Effective Date

03/22/2004

Expiration Date

03/31/2005

City

SMITHTON

State

Zip

62285

Ever Disciplined

LastModifiedDate

10/20/2005