MELINDA S BLOSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049097315

License Status

NOT RENEWED

Business

First Name

MELINDA S

Last Name

BLOSE

Business Name

MELINDA S BLOSE

Original Issue Date

06/26/1991

Effective Date

06/26/1991

Expiration Date

03/31/1993

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005