JODY LYNN MALLICOAT Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051298519

License Status

ACTIVE

Business

First Name

JODY

Middle

LYNN

Last Name

MALLICOAT

Business Name

JODY LYNN MALLICOAT

Original Issue Date

06/25/2015

Effective Date

02/01/2026

Expiration Date

03/31/2028

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

02/01/2026