License holder summary

MALLORY J PROVSTGAARD is a Pharmacy - Pharmacy Technician licensed to practice in Utah. The address on file for MALLORY J PROVSTGAARD is SPANISH FORK, UT 84660. This licensed professional license is current. The license was granted 05/28/2014 and expired on 09/30/2015.

Utah

Division of Occupational and Professional Licensing

MALLORY J PROVSTGAARD
Pharmacy - Pharmacy Technician
License number
8412718-1717
Date granted
05/28/2014
Date expires
09/30/2015
Class
Pharmacy - Pharmacy Technician
Status
Active
Address
SPANISH FORK, UT 84660
utahlicensing.org
ID 29897297
LAST UPDATED 2024-02-29 11:30:53 UTC

This website is unaffiliated with the Division of Occupational and Professional Licensing. Please verify all information directly with the relevant official government authority.

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