MELISSA SUE HAGSTROM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121721

License Status

NOT RENEWED

Business

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

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005