JODY LYNN MALLICOAT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204918

License Status

NOT RENEWED

Business

First Name

JODY

Middle

LYNN

Last Name

MALLICOAT

Business Name

JODY LYNN MALLICOAT

Original Issue Date

06/22/2011

Effective Date

01/29/2015

Expiration Date

03/31/2016

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

05/20/2016