DAVID C MALOTTKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136513

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

MALOTTKI

Business Name

DAVID C MALOTTKI

Original Issue Date

05/31/2001

Effective Date

05/31/2001

Expiration Date

03/31/2003

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/20/2005