MACKENZIE SUE MAXEDON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049280140

License Status

NOT RENEWED

Business

First Name

MACKENZIE

Middle

SUE

Last Name

MAXEDON

Business Name

MACKENZIE SUE MAXEDON

Original Issue Date

03/05/2021

Effective Date

03/05/2021

Expiration Date

05/31/2022

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/27/2022