MALLORY LAUREL DALL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049242263

License Status

NOT RENEWED

Business

First Name

MALLORY

Middle

LAUREL

Last Name

DALL

Business Name

MALLORY LAUREL DALL

Original Issue Date

06/06/2016

Effective Date

06/06/2016

Expiration Date

03/31/2017

City

ZIONSVILLE

State

Zip

46077

County

INDIANA

Ever Disciplined

LastModifiedDate

05/10/2017