ANDREW KENT MALCOLM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164661

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

KENT

Last Name

MALCOLM

Business Name

ANDREW KENT MALCOLM

Original Issue Date

09/06/2005

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

05/06/2009