MATTHEW DAVID MALLERY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049300196

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

DAVID

Last Name

MALLERY

Business Name

MATTHEW DAVID MALLERY

Original Issue Date

02/28/2023

Effective Date

02/28/2023

Expiration Date

03/31/2024

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/03/2025