EDEN M MALLARI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049214022

License Status

NOT RENEWED

Business

First Name

EDEN

Middle

Last Name

MALLARI

Prefix

Business Name

EDEN M MALLARI

Original Issue Date

10/14/2012

Effective Date

07/17/2013

Expiration Date

03/31/2014

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2014