BONNIE L MAHAN Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049269752

License Status

ACTIVE

Business

First Name

BONNIE

Middle

Last Name

MAHAN

Business Name

BONNIE L MAHAN

Original Issue Date

12/09/2019

Effective Date

03/13/2026

Expiration Date

03/31/2027

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

03/13/2026