TAYLOR R MALCOME Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178045

License Status

NOT RENEWED

Business

First Name

TAYLOR

Middle

Last Name

MALCOME

Business Name

TAYLOR R MALCOME

Original Issue Date

07/26/2007

Effective Date

03/22/2011

Expiration Date

03/31/2012

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Ever Disciplined

LastModifiedDate

05/07/2012