MACKENZIE RENEE MADSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049276660

License Status

NOT RENEWED

Business

First Name

MACKENZIE

Middle

RENEE

Last Name

MADSEN

Business Name

MACKENZIE RENEE MADSEN

Original Issue Date

10/15/2020

Effective Date

01/10/2021

Expiration Date

05/31/2022

City

FORSYTH

State

Zip

62535

County

ADAMS

Ever Disciplined

LastModifiedDate

07/27/2022