SUSAN M MALLEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049250089

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

MALLEN

Business Name

SUSAN M MALLEN

Original Issue Date

04/24/2017

Effective Date

02/13/2018

Expiration Date

03/31/2019

City

ROCKFORD

State

Zip

61109

County

OGLE

Ever Disciplined

LastModifiedDate

07/15/2019