TIA ANN MAHALIK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049221992

License Status

NOT RENEWED

Business

First Name

TIA

Middle

ANN

Last Name

MAHALIK

Business Name

TIA ANN MAHALIK

Original Issue Date

11/14/2013

Effective Date

02/24/2014

Expiration Date

03/31/2015

City

SPARTA

State

Zip

62286

County

RANDOLPH

Ever Disciplined

LastModifiedDate

05/11/2015