DAISY ALEXANDRIA MALCOM - Pharmacist License in Illinois | # 049194035

DAISY ALEXANDRIA MALCOM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194035

License Status

NOT RENEWED

Business

N

First Name

DAISY

Middle

ALEXANDRIA

Last Name

MALCOM

Business Name

DAISY ALEXANDRIA MALCOM

Original Issue Date

09/03/2009

Effective Date

02/23/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011