TRAVIS JOHN OSTBLOOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049186062

License Status

NOT RENEWED

Business

First Name

TRAVIS

Middle

JOHN

Last Name

OSTBLOOM

Business Name

TRAVIS JOHN OSTBLOOM

Original Issue Date

08/12/2008

Effective Date

08/12/2008

Expiration Date

03/31/2009

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

05/06/2009