GRETCHEN L MALLEKOOTE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115590

License Status

NOT RENEWED

Business

First Name

GRETCHEN L

Last Name

MALLEKOOTE

Business Name

GRETCHEN L MALLEKOOTE

Original Issue Date

10/17/1996

Effective Date

10/17/1996

Expiration Date

03/31/1998

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

10/17/2005