SCOTT BLOSTICA - Pharmacist License in Illinois | # 049064536

SCOTT BLOSTICA

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064536

License Status

CANCELLED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005