MALLORIE A KOUTSOURES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049215637

License Status

NOT RENEWED

Business

First Name

MALLORIE

Middle

Last Name

KOUTSOURES

Prefix

Business Name

MALLORIE A KOUTSOURES

Original Issue Date

01/22/2013

Effective Date

01/22/2013

Expiration Date

03/31/2014

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

05/06/2014