LANCE L MALOTT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049241223

License Status

NOT RENEWED

Business

First Name

LANCE

Middle

Last Name

MALOTT

Business Name

LANCE L MALOTT

Original Issue Date

04/21/2016

Effective Date

05/01/2017

Expiration Date

03/31/2018

City

MILLEDGEVILLE

State

Zip

61051

County

CARROLL

Ever Disciplined

LastModifiedDate

06/19/2018