MALLORY EDWARDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171479

License Status

NOT RENEWED

Business

First Name

MALLORY

Last Name

EDWARDS

Business Name

MALLORY EDWARDS

Original Issue Date

09/20/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

MORO

State

Zip

62067

County

MADISON

Ever Disciplined

LastModifiedDate

05/02/2008