MALLORY LYNN KERKSTRA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211915

License Status

NOT RENEWED

Business

First Name

MALLORY

Middle

LYNN

Last Name

KERKSTRA

Business Name

MALLORY LYNN KERKSTRA

Original Issue Date

06/27/2012

Effective Date

06/27/2012

Expiration Date

03/31/2013

City

ALSIP

State

Zip

60803

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013