CASEY THOMAS MALSOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164740

License Status

NOT RENEWED

Business

First Name

CASEY

Middle

THOMAS

Last Name

MALSOM

Business Name

CASEY THOMAS MALSOM

Original Issue Date

11/02/2005

Effective Date

02/08/2012

Expiration Date

03/31/2013

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/06/2013