MASON TYLER LELM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049289240

License Status

NOT RENEWED

Business

First Name

MASON

Middle

TYLER

Last Name

LELM

Business Name

MASON TYLER LELM

Original Issue Date

12/30/2021

Effective Date

12/30/2021

Expiration Date

05/31/2022

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/27/2022