AVERY R MALCOLM - Pharmacist License in Illinois | # 049265759

AVERY R MALCOLM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049265759

License Status

NOT RENEWED

Business

N

First Name

AVERY

Middle

R

Last Name

MALCOLM

Business Name

AVERY R MALCOLM

Original Issue Date

06/03/2019

Effective Date

06/03/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021