ADDISON GRACE MANDRELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049252097

License Status

NOT RENEWED

Business

First Name

ADDISON

Middle

GRACE

Last Name

MANDRELL

Business Name

ADDISON GRACE MANDRELL

Original Issue Date

08/01/2017

Effective Date

02/23/2018

Expiration Date

03/31/2019

City

PITTSBURG

State

Zip

62974

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

07/15/2019