MALLORI BETH DOMBROCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177430

License Status

NOT RENEWED

Business

First Name

MALLORI

Middle

BETH

Last Name

DOMBROCK

Business Name

MALLORI BETH DOMBROCK

Original Issue Date

06/28/2007

Effective Date

06/28/2007

Expiration Date

03/31/2008

City

BATAVIA

State

Zip

60510

County

KANE

Ever Disciplined

LastModifiedDate

05/02/2008