MALLORY K KOVARIK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211001

License Status

NOT RENEWED

Business

First Name

MALLORY

Middle

Last Name

KOVARIK

Prefix

Business Name

MALLORY K KOVARIK

Original Issue Date

05/12/2012

Effective Date

01/25/2018

Expiration Date

03/31/2019

City

COLUMBIA

State

Zip

62236

County

MONROE

Ever Disciplined

LastModifiedDate

07/15/2019