MALACCA KOBISCHKA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173082

License Status

NOT RENEWED

Business

First Name

MALACCA

Last Name

KOBISCHKA

Business Name

MALACCA KOBISCHKA

Original Issue Date

12/11/2006

Effective Date

02/22/2011

Expiration Date

03/31/2012

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/07/2012