MACKENZIE N WORTLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201531

License Status

NOT RENEWED

Business

First Name

MACKENZIE

Middle

Last Name

WORTLEY

Prefix

Business Name

MACKENZIE N WORTLEY

Original Issue Date

11/14/2010

Effective Date

03/16/2015

Expiration Date

03/31/2016

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/20/2016