MELISSA M HOSTETTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165708

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

Last Name

HOSTETTER

Business Name

MELISSA M HOSTETTER

Original Issue Date

12/19/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/14/2007