STEPHAN D MALCOLM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049188321

License Status

NOT RENEWED

Business

First Name

STEPHAN

Middle

Last Name

MALCOLM

Business Name

STEPHAN D MALCOLM

Original Issue Date

11/19/2008

Effective Date

04/03/2013

Expiration Date

03/31/2014

City

DOLTON

State

Zip

60419

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014