KELLIE A MALSOM Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160164

License Status

ACTIVE

Business

First Name

KELLIE

Middle

Last Name

MALSOM

Business Name

KELLIE A MALSOM

Original Issue Date

04/13/2005

Effective Date

02/26/2026

Expiration Date

03/31/2027

City

CRYSTAL LAKE

State

Zip

60014

Ever Disciplined

LastModifiedDate

02/26/2026