MALLORY L WOLLENBERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194910

License Status

NOT RENEWED

Business

First Name

MALLORY

Middle

Last Name

WOLLENBERG

Business Name

MALLORY L WOLLENBERG

Original Issue Date

10/19/2009

Effective Date

10/19/2009

Expiration Date

03/31/2010

City

SLEEPY HOLLOW

State

Zip

60118

County

KANE

Ever Disciplined

LastModifiedDate

05/04/2010