PORSCHEY C MALLETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049239019

License Status

NOT RENEWED

Business

First Name

PORSCHEY

Middle

Last Name

MALLETT

Prefix

Business Name

PORSCHEY C MALLETT

Original Issue Date

01/21/2016

Effective Date

01/21/2016

Expiration Date

03/31/2017

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/10/2017