MALLORY M MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049188194

License Status

NOT RENEWED

Business

First Name

MALLORY

Middle

Last Name

MARTIN

Prefix

Business Name

MALLORY M MARTIN

Original Issue Date

11/10/2008

Effective Date

11/10/2008

Expiration Date

03/31/2009

City

JOHNSTON CITY

State

Zip

62951

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/06/2009