MACKENZI LACHELLE HODGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049209875

License Status

NOT RENEWED

Business

First Name

MACKENZI

Middle

LACHELLE

Last Name

HODGE

Business Name

MACKENZI LACHELLE HODGE

Original Issue Date

03/23/2012

Effective Date

03/23/2012

Expiration Date

03/31/2013

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/06/2013