SCOTT BLOSTICA Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064536

License Status

CANCELLED

Business

First Name

SCOTT

Last Name

BLOSTICA

Business Name

SCOTT BLOSTICA

Original Issue Date

12/05/1975

Effective Date

12/05/1975

Expiration Date

01/01/1997

City

CICERO

State

Zip

60650

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005