MALLORY MARISSA BURRELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163407

License Status

NOT RENEWED

Business

First Name

MALLORY

Middle

MARISSA

Last Name

BURRELL

Business Name

MALLORY MARISSA BURRELL

Original Issue Date

08/31/2005

Effective Date

03/09/2012

Expiration Date

03/31/2013

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/06/2013