MALLORY MARIE HERMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049230376

License Status

NOT RENEWED

Business

First Name

MALLORY

Middle

MARIE

Last Name

HERMAN

Business Name

MALLORY MARIE HERMAN

Original Issue Date

01/09/2015

Effective Date

03/04/2016

Expiration Date

03/31/2017

City

BRIMFIELD

State

Zip

61517

County

PEORIA

Ever Disciplined

LastModifiedDate

05/10/2017