MALLERY J BOCZEK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049208842

License Status

NOT RENEWED

Business

First Name

MALLERY

Middle

Last Name

BOCZEK

Prefix

Business Name

MALLERY J BOCZEK

Original Issue Date

01/21/2012

Effective Date

01/17/2013

Expiration Date

03/31/2014

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/06/2014