MALLORY LYNN SCURLOCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049278399

License Status

NOT RENEWED

Business

First Name

MALLORY

Middle

LYNN

Last Name

SCURLOCK

Business Name

MALLORY LYNN SCURLOCK

Original Issue Date

01/04/2021

Effective Date

01/04/2021

Expiration Date

05/31/2022

City

ELWIN

State

Zip

62532

County

MACON

Ever Disciplined

LastModifiedDate

07/27/2022