MELISSA SUE HAGSTROM - Pharmacist License in Illinois | # 049121721

MELISSA SUE HAGSTROM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121721

License Status

NOT RENEWED

Business

N

First Name

MELISSA

Middle

SUE

Last Name

HAGSTROM

Business Name

MELISSA SUE HAGSTROM

Original Issue Date

06/23/1998

Effective Date

06/23/1998

Expiration Date

03/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005