DAISY ALEXANDRIA MALCOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194035

License Status

NOT RENEWED

Business

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

City

GLENWOOD

State

Zip

60425

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011