KRISTOFFER P MALLARI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155453

License Status

NOT RENEWED

Business

First Name

KRISTOFFER

Middle

Last Name

MALLARI

Business Name

KRISTOFFER P MALLARI

Original Issue Date

06/21/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/14/2007