AVERY R MALCOLM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049265759

License Status

NOT RENEWED

Business

First Name

AVERY

Middle

Last Name

MALCOLM

Business Name

AVERY R MALCOLM

Original Issue Date

06/03/2019

Effective Date

06/03/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021